Peggy Sue Tryonoviech, LPN
Individual provider Active NPI Licensed Practical Nurse · Dover Plains, NY
NPI 1013334549 · NPPES record last updated Mar 21, 2014
Key facts
- NPI
- 1013334549
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 269761 (NY)
- Practice address
- 40 Glen Ave
Dover Plains, NY 12522-6029 - Phone
- (845) 702-7555
- NPI assigned
- Mar 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29956 | CT | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 29956 | CT | |
| Licensed Practical Nurse | 164W00000X | 269761 | NY | Yes |
Addresses
Primary practice location
40 Glen Ave
Dover Plains, NY 12522-6029
Mailing address
40 Glen Ave
Dover Plains, NY 12522-6029
Phone (845) 702-7555
Other providers in Dover Plains, NY
- Sun River Health Inc
- Gloria Jeane Tatsapaugh
- Nicolette Rose Tigno
- April Tompkins
- Towns of Dover Amenia Washington & Unionvale Union Free School Board O
- Aldo A Virasi
- Iwona Vujovic
- Robin Wellington
- Diane B Zlotnikov-Smolyare
All providers in Dover Plains, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.