Provider Demographics
NPI:1245619121
Name:FAVORITE NURSING
Entity type:Organization
Organization Name:FAVORITE NURSING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:MILCENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-671-8746
Mailing Address - Street 1:2040 RENFREW AVE
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-2909
Mailing Address - Country:US
Mailing Address - Phone:516-519-8467
Mailing Address - Fax:516-519-8467
Practice Address - Street 1:2040 RENFREW AVE
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-2909
Practice Address - Country:US
Practice Address - Phone:516-519-8467
Practice Address - Fax:516-519-8467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-25
Last Update Date:2015-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY668541-1313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility