Individual provider · Type 1 NPI

Anthony J. Detore, RN

Home Health Registered Nurse · Bohemia, NY

NPI number 1669077426 Active

Practice location

17 Bourne Blvd
Bohemia, NY 11716-4901

Specialties and licenses

TaxonomyCodeLicense
Home Health Registered Nurse Primary 163WH0200X723193-01 (NY)

Home Health Registered Nurse: Definition to come...

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About NPI 1669077426

Anthony J. Detore, RN's National Provider Identifier is 1669077426, issued on Dec 1, 2020. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Bohemia, NY. The record was last updated on Dec 1, 2020.