1033416193 NPI number — NORTH SHORE UNIVERSITY HOSPITAL AMBULANCE

Table of content: MAYTE DELOS SANTOS CRNA (NPI 1801860317)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033416193 NPI number — NORTH SHORE UNIVERSITY HOSPITAL AMBULANCE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTH SHORE UNIVERSITY HOSPITAL AMBULANCE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033416193
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/24/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
972 BRUSH HOLLOW ROAD
Provider Second Line Business Mailing Address:
5TH FLOOR FINANCE
Provider Business Mailing Address City Name:
WESTBURY
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11590
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
972 BRUSH HOLLOW RD
Provider Second Line Business Practice Location Address:
5TH FLOOR FINANCE
Provider Business Practice Location Address City Name:
WESTBURY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11590-1740
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-876-6065
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/24/2011

Additional Information

Authorized Official

Authorized Official Last Name:
SHAPIRO
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
S
Authorized Official Title or Position:
SR VP & CFO
Authorized Official Telephone Number:
516-465-8182

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2026 www.npivalidator.com