Rita Iriene George, LPN

Individual provider Active NPI Licensed Practical Nurse · Belmont, NY

NPI 1669733192 · NPPES record last updated May 31, 2012

Key facts

NPI
1669733192
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
158202-1 (NY)
Practice address
1 Jaguar Dr
Belmont, NY 14813-9755
Phone
(585) 268-7900
Fax
(585) 268-7990
NPI assigned
May 31, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
158202-1NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Genesee Valley Central School Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 158202-1 NY Yes

Addresses

Primary practice location

1 Jaguar Dr
Belmont, NY 14813-9755

Mailing address

1 Jaguar Dr
Belmont, NY 14813-9755
Phone (585) 268-7900

Other providers in Belmont, NY

All providers in Belmont, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.