Provider Demographics
NPI:1194072280
Name:TOLENTINO CABA, DARIANA (RN)
Entity type:Individual
Prefix:
First Name:DARIANA
Middle Name:
Last Name:TOLENTINO CABA
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 1:3 SHATTERHAND CLOSE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603-3015
Mailing Address - Country:US
Mailing Address - Phone:646-667-9796
Mailing Address - Fax:
Practice Address - Street 1:42-09 28TH ST
Practice Address - Street 2:
Practice Address - City:LONG ISLANG CITY
Practice Address - State:NY
Practice Address - Zip Code:11101
Practice Address - Country:US
Practice Address - Phone:718-741-3085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-08
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY643920163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse