Sandra A Delalve Mesidor, REGISTERED PROFESSIO

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

5701831 Issued in NY

Practice address

Daytop Village Inc Springwood
190 Fox Hollow Road
Rhinebeck, NY 12572

Phone

(845) 876-5628

NPI assigned

Jan 26, 2007

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

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710033428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 WALL STREET",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "12401",
            "telephone_number": "845-943-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DAYTOP VILLAGE INC SPRINGWOOD",
            "address_2": "190 FOX HOLLOW ROAD",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "12572",
            "telephone_number": "845-876-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELALVE MESIDOR",
        "first_name": "SANDRA",
        "middle_name": "A",
        "credential": "REGISTERED PROFESSIO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "5701831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daytop Village, Inc.
• Daytop Village, Inc.
• Debenedictus Physical Therapy
• Patricia Defelicis, LPN
• Marcus Degrazia, L.AC.
• Kyla Delgado, DPT
• Michael Louis Delmonico, M.D.
• Rene Denick
• Joell Kristine Depaola, LCSW
• Suchi Hitendra Desai, PT

• Registered Nurse in Rhinebeck, NY
• Providers in Rhinebeck, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.