OrganizationActive
Private Duty Nurse
NPI 1386812485 · Physical Disabilities Residential Treatment Facility · New Rochelle, NY
Provider details
- NPI number
- 1386812485
- Entity type
- Organization
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Cardene Wallace, LPN(914) 433-5331
- License
- 169322-1 (NY)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
106 Winthrop Ave
2nd Floor
New Rochelle, NY 10801-3313
Phone: (914) 433-5331
Approximate (ZIP-level) locationGet directions
Mailing address
106 Winthrop Ave
New Rochelle, NY 10801
Registry dates
- Enumerated
- 2008-02-12
- Last updated
- 2008-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.