Provider Demographics
NPI:1467629055
Name:CURRY, CONSEPCION (RN)
Entity type:Individual
Prefix:MRS
First Name:CONSEPCION
Middle Name:
Last Name:CURRY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:256 CONNERS RD
Mailing Address - Street 2:
Mailing Address - City:PERU
Mailing Address - State:NY
Mailing Address - Zip Code:12972-5133
Mailing Address - Country:US
Mailing Address - Phone:518-643-2293
Mailing Address - Fax:
Practice Address - Street 1:256 CONNERS ROAD
Practice Address - Street 2:
Practice Address - City:PERU
Practice Address - State:NY
Practice Address - Zip Code:12972-5133
Practice Address - Country:US
Practice Address - Phone:518-643-2293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY492030163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02000631Medicaid