Doctor Name: | MRS. RENEE SUEZETTE VERNOLA |
NPI Number: | 1366712291 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, SNT |
License Number: | 480408-1 |
Business Practice Address: | 159 Harriman Heights Rd Box 1033 Harriman, NY - 109263909 |
Business Phone Number: | 8454606500 |
Business Fax Number: | 8454606035 |
Mailing Address: | 159 Harriman Heights Rd, Box 1033 HARRIMAN |
State: | NY |
Postal Code: | 109263909 |
Phone Number: | 8454606500 |
Fax Number: | 8454606035 |
NPI Enumeration Date: | 01/10/2012 |
NPI Last Update Date: | 01/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 480408-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |