Irena Elbaum
Individual provider Active NPI Home Health Registered Nurse · Pine Bush, NY
NPI 1164622650 · NPPES record last updated Jul 23, 2007
Key facts
- NPI
- 1164622650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 246671-1 (NY)
- Practice address
- 618 Awosting Rd
Pine Bush, NY 12566-5570 - Phone
- (845) 744-5539
- NPI assigned
- Jul 23, 2007
- 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 |
|---|---|---|---|
| 246671-1 | NY | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 246671-1 | NY | Yes |
Addresses
Primary practice location
618 Awosting Rd
Pine Bush, NY 12566-5570
Mailing address
618 Awosting Rd
Pine Bush, NY 12566-5570
Phone (845) 744-5539
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01474684 | Medicaid | NY |
Other providers in Pine Bush, NY
- Ear Care Hearing Aid Centers Pine Bush
- Jane V Eason
- Edge Medical Services
- Crysti Eichner
- Shaun Ryan Eichner
- Laura Esposito
- Brian Christopher Farrell
- Lori Rochelle Feinman
- Stuart Feuer
- Sarah Jayne Fisch
All providers in Pine Bush, NY · Home Health Registered 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 Jul 23, 2007. 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.