Wendy Boisrond

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

315255 Issued in NY

Practice address

260 Westside Ave
Haverstraw, NY 10927-1213

Phone

(845) 729-0675

NPI assigned

Jul 21, 2014

Sex

Female

Sole proprietor

No

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, last updated by the provider on Jul 21, 2014.

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1457768509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BRIAR CT",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109776431",
            "telephone_number": "845-729-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 WESTSIDE AVE",
            "city": "HAVERSTRAW",
            "state": "NY",
            "postal_code": "109271213",
            "telephone_number": "845-729-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOISROND",
        "first_name": "WENDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "315255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Balandra, LMFT
• Dipak S Banker, M.D.
• Mary F Barrett, P.T.
• Sarah Bergstein Teixeira, MS, OTR/L
• Paul B Bloom, MD
• Dania Boncoeur, LPN
• Tatiyana Bredin
• Gilbert C Carlevaro Jr.
• Jahaira Castro
• Centro de Amigos, LLC

• All providers in Haverstraw, NY
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.