Beth Marianne Cofini-Martin, RN
Individual provider Active NPI Community Health Registered Nurse · Lake Peekskill, NY
NPI 1174723795 · NPPES record last updated Jul 22, 2007
Key facts
- NPI
- 1174723795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 317967-1 (NY)
- Practice address
- 23 Willow PL
Lake Peekskill, NY 10537-1549 - Phone
- (914) 526-4359
- NPI assigned
- Jul 22, 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 317967-1 | NY | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 317967-1 | NY | Yes |
Addresses
Primary practice location
23 Willow PL
Lake Peekskill, NY 10537-1549
Mailing address
23 Willow PL
Lake Peekskill, NY 10537-1549
Phone (914) 526-4359
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00883101 | Medicaid | NY |
Other providers in Lake Peekskill, NY
- Nelson Adler
- Susanne E Berman
- BHP Transportation Inc.
- Lisa Cozzi
- Samuel Davis
- Diana Duma
- Kimberly Page Hance
- Marie Isabella Holland
All providers in Lake Peekskill, NY · Community 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 22, 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.