Active NPIIndividual providerSole proprietor

Mr. Leroi E Dewitt Jr., RN

Registered Nurse in Mount Vernon, New York

NPI Number1104089184
Practice location
30 Park Ave, #5d, Mount Vernon, NY 10550-2145
Fax
—
Last updated
June 25, 2013

Leroi Ephraim Dewitt is a Registered Nurse based in Mount Vernon, NY. Leroi Ephraim Dewitt practices in Mount Vernon, NY and has the professional credentials of RN. The NPI Number for Leroi Ephraim Dewitt is 1104089184 and holds a License No. 292387 (NY). The current practice location address for Leroi Ephraim Dewitt is 30 Park Ave, #5d, Mount Vernon, NY 10550-2145 and can be reached out via phone at 347-203-9580.

Provider Profile Details

NPI Number
1104089184
Provider Name
Leroi Ephraim Dewitt
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
30 Park Ave, #5d, Mount Vernon, NY 10550-2145
Phone Number
347-203-9580
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 9, 2008
Last Update Date
June 25, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Park Ave
#5d
Mount Vernon, NY 10550-2145
Zip
10550-2145
Phone Number
347-203-9580
Mount Vernon, NY 10550Get directions →

Provider Business Mailing Address Details

Address
30 Park Ave
#5d
Mount Vernon, NY 10550-2145
City
Mount Vernon
State
NY
Zip
10550-2145
Phone Number
347-203-9580

License Information

License Number (1)
292387
License State (1)
NY
Taxonomy (1)
Licensed Practical Nurse · 164W00000X
License Number (2)
652287
License State (2)
NY
Taxonomy (2)
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Leroi E Dewitt Jr., RN?

The NPI number of Mr. Leroi E Dewitt Jr., RN is 1104089184. It was assigned on July 9, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. Leroi E Dewitt Jr., RN?

Mr. Leroi E Dewitt Jr., RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NY under license number 292387.

Where does Mr. Leroi E Dewitt Jr., RN practice?

The practice location is 30 Park Ave, #5d, Mount Vernon, NY 10550-2145. The office can be reached at 347-203-9580 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104089184 directly on the NPPES registry website.

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