Doris Marlwin Atsutey, LPN
Individual provider Active NPI Licensed Practical Nurse · Nanuet, NY
NPI 1104132935 · NPPES record last updated Aug 31, 2010
Key facts
- NPI
- 1104132935
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 301040 (NY)
- Practice address
- 20 Old Turnpike Rd
Nanuet, NY 10954-2532 - Phone
- (845) 624-0260
- Fax
- (845) 624-0264
- NPI assigned
- Aug 31, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 301040 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accucare Nursing | Licensed Practical Nurse | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 301040 | NY | Yes |
Addresses
Primary practice location
20 Old Turnpike Rd
Nanuet, NY 10954-2532
Mailing address
20 Old Turnpike Rd
Nanuet, NY 10954-2532
Phone (845) 624-0260
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 301040 | Medicaid | NY |
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- Charles Stephen Astrove
- At Home, LTD.
- Atz Medical & Respiratory Inc
- Melucienne Augusma
- Marie Augustin
- Sajan Augustine
- Autism Services North
All providers in Nanuet, 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 Aug 31, 2010. 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.