Provider Demographics
NPI:1154695146
Name:CUMMINGS, PATRICIA (RN)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9130 METROPOLITAN AVE
Mailing Address - Street 2:QUEENS METROPOLITAN CAMPUS ROOM 1110
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-6671
Mailing Address - Country:US
Mailing Address - Phone:718-286-4775
Mailing Address - Fax:718-286-3501
Practice Address - Street 1:9130 METROPOLITAN AVE
Practice Address - Street 2:QUEENS METROPOLITAN CAMPUS ROOM 1110
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-6671
Practice Address - Country:US
Practice Address - Phone:718-286-4775
Practice Address - Fax:718-286-3501
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-08
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY384870-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse