IndividualActive
Anthony Detore, RN
NPI 1669077426 · Home Health Registered Nurse · Bohemia, NY
Provider details
- NPI number
- 1669077426
- Entity type
- Individual
- Primary specialty
- Home Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 723193-01 (NY)
Specialties & taxonomies
Nursing Service Providers
Practice location
17 Bourne Blvd
Bohemia, NY 11716-4901
Phone: (631) 987-2061
Approximate (ZIP-level) locationGet directions
Mailing address
17 Bourne Blvd
Bohemia, NY 11716-4901
Registry dates
- Enumerated
- 2020-12-01
- Last updated
- 2020-12-01
- Certified
- 2020-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.