Individual provider · Type 1 NPI

Therese Lillian Formica, RN

Registered Nurse · Staten Island, NY

NPI number 1356598221 Active

Practice location

1477 Hylan Blvd
Staten Island, NY 10305-1906

Call (718) 979-6900 Map

Mailing address

12 Adrienne Pl
Staten Island, NY 10308-2912

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	548888 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1356598221

Therese Lillian Formica, RN's National Provider Identifier is 1356598221, issued on Aug 22, 2008. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Staten Island, NY. The record was last updated on Aug 22, 2008.