1477805281 NPI number — LORNA GRAZIO REGISTERED NURSE

Table of content: LINDSEY RAE AMMONS (NPI 1467197970)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477805281 NPI number — LORNA GRAZIO REGISTERED NURSE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GRAZIO
Provider First Name:
LORNA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
REGISTERED NURSE
Provider Gender Code:
F

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:
1477805281
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/04/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX1379
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10018
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-971-4411
Provider Business Mailing Address Fax Number:
212-971-4465

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
505 EIGTH AVE SUITE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10018
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-971-4411
Provider Business Practice Location Address Fax Number:
212-971-4465
Provider Enumeration Date:
10/04/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WA2000X , with the licence number:  519965-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 163WH0200X , with the licence number: 591965-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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