Organization
D0E
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA ANDRES DAULO RN (STAFF NURSE)
(718) 429-7006
Entity
Organization
Contact information
Practice address
5040 JACOBUS ST, ELMHURST, NY 11373-3702
(718) 429-7006
(718) 429-6864
Mailing address
5040 JACOBUS ST, ELMHURST, NY 11373-3702
(718) 429-7006
(718) 429-6864
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
443418-1
NY
314000000X
Skilled Nursing Facility
Primary
443418-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440065
—
NY
Enumeration date
03/19/2012
Last updated
03/19/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up