Mariatheresa Dy, RN

Individual provider Active NPI Registered Nurse · Elmsford, NY

NPI 1770845018 · NPPES record last updated Jun 12, 2012

Key facts

NPI
1770845018
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
624784 (NY)
Practice address
301 Old Country Rd
Elmsford, NY 10523-2046
Phone
(914) 592-5191
NPI assigned
Jun 12, 2012
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

LicenseStateTypeSpecialty
624784NYMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 624784 NY Yes

Addresses

Primary practice location

301 Old Country Rd
Elmsford, NY 10523-2046

Mailing address

301 Old Country Rd
Elmsford, NY 10523-2046
Phone (914) 592-5191

Other providers in Elmsford, NY

All providers in Elmsford, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.