Eric Lee Sitler, RN
Individual provider Active NPI Registered Nurse · Rexford, NY
NPI 1043965189 · NPPES record last updated Feb 17, 2022
Key facts
- NPI
- 1043965189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 632385-01 (NY)
- Practice address
- 2 New York CT
Rexford, NY 12148-1350 - Phone
- (518) 429-8717
- NPI assigned
- Feb 17, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 632385-01 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 632385-01 | NY | Yes |
Addresses
Primary practice location
2 New York CT
Rexford, NY 12148-1350
Mailing address
2 New York CT
Rexford, NY 12148-1350
Phone (518) 429-8717
Other providers in Rexford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2022. 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.