Organization
PRN PROFESSIONAL REGISTERED NURSING P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT WILLIAM MANLEY R.N. (PRESIDENT)
(914) 329-5742
Entity
Organization
Contact information
Practice address
2451 WHITE PLAINS RD, BRONX, NY 10467-8108
(914) 329-5742
(888) 411-6002
Mailing address
2451 WHITE PLAINS RD, BRONX, NY 10467-8108
(914) 329-5742
(888) 411-6002
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
8070L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8070L001
NEW YORK STATE DEPARTMENT OF HEALTH
NY
Enumeration date
01/24/2012
Last updated
01/24/2012
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