Rebecca Bumb, RN
Individual provider Active NPI Registered Nurse · Centereach, NY
NPI 1174839237 · NPPES record last updated Aug 27, 2010
Key facts
- NPI
- 1174839237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 631056-1 (NY)
- Practice address
- 33 Ulrich Rd
Centereach, NY 11720-4012 - Phone
- (631) 738-0281
- NPI assigned
- Aug 27, 2010
- Sex
- Female
- 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 |
|---|---|---|---|
| 631056-1 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 631056-1 | NY | Yes |
Addresses
Primary practice location
33 Ulrich Rd
Centereach, NY 11720-4012
Mailing address
33 Ulrich Rd
Centereach, NY 11720-4012
Phone (631) 738-0281
Other providers in Centereach, NY
- Laura Elizabeth Brady
- Danielle Brennan
- Barbara Jean Broggelwirth
- Linda Jean Brown
- Michele Dawn Buddenhagen
- Gina Buonagura
- Michele Susan Butzbach
- Maria Byrne
- Dori Jo Cannella
- Deborah Mary Carney
All providers in Centereach, NY · 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 Aug 27, 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.