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
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse Primary | 163WH0200X | 723193-01 (NY) |
Home Health Registered Nurse: Definition to come...
Other home health registered nurse providers in Bohemia
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.