Renee Cupidon Edouard

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

204547 Issued in NY

Practice address

7017 Park Dr E
Kew Gardens Hills, NY 11367-1951

Phone

(718) 268-4082

NPI assigned

Oct 31, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225411200000",
    "number": "1235382425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7017 PARK DR E",
            "city": "KEW GARDENS HILLS",
            "state": "NY",
            "postal_code": "113671951",
            "telephone_number": "718-268-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7017 PARK DR E",
            "city": "KEW GARDENS HILLS",
            "state": "NY",
            "postal_code": "113671951",
            "telephone_number": "718-268-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDOUARD",
        "first_name": "RENEE",
        "middle_name": "CUPIDON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "204547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY NURSING LICENSE NUMBER",
            "identifier": "204547",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gillian Tracy-Ann Christian, DPT
• Cygnificare PT, P.C.
• Barbara Anne Ditman
• Susan Drucker, MD
• Dynamic Rehab P T PC
• Debra Ellis
• Yokasta M Espaillat, PT
• Judy R Feder, OTR/L
• Merrel B. Finkler, M.S.
• Addison Forgit, LCSW

• Licensed Practical Nurse in Kew Gardens Hills, NY
• Providers in Kew Gardens Hills, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.