1497938146 NPI number — MRS. DESPINA NIKI SCHEYER RNC CNNP

Table of content: MRS. DESPINA NIKI SCHEYER RNC CNNP (NPI 1497938146)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497938146 NPI number — MRS. DESPINA NIKI SCHEYER RNC CNNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHEYER
Provider First Name:
DESPINA
Provider Middle Name:
NIKI
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RNC CNNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CASTILLO
Provider Other First Name:
DESPINA
Provider Other Middle Name:
N
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1497938146
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/17/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
154 RIDGEWOOD AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FARMINGVILLE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11738
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
631-696-3556
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
GRASSLANDS ROAD, WESTCHESTER MEDICAL CENTER
Provider Second Line Business Practice Location Address:
MARIA FERARI CHILDRENS HOSPITAL NICU 2ND FLOOR
Provider Business Practice Location Address City Name:
VALHALLA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10595
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-493-8585
Provider Business Practice Location Address Fax Number:
914-493-5409
Provider Enumeration Date:
12/17/2007

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: 363L00000X , with the licence number:  F3502061 , 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)





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