Basic Information
| Provider Information | |||||||||
| NPI: | 1508281445 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALBERT | ||||||||
| FirstName: | DARLENE | ||||||||
| MiddleName: | CAMILLA | ||||||||
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| Credential: | BSN,RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 186 RAMAPO RD | ||||||||
| Address2: | APT F | ||||||||
| City: | GARNERVILLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 109231560 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 2052 TILLOTSON AVE | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104751560 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7186712100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/02/2014 | ||||||||
| LastUpdateDate: | 03/02/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 631453 | NY | Y | Nursing Service Providers | Registered Nurse | 163WH0200X | 631453 | NY | N | Nursing Service Providers | Registered Nurse | Home Health |
No ID Information.