Provider Demographics
NPI:1306269444
Name:WETTENSTEIN, RIMON (RN)
Entity type:Individual
Prefix:
First Name:RIMON
Middle Name:
Last Name:WETTENSTEIN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 E 81ST ST APT 5D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-2622
Mailing Address - Country:US
Mailing Address - Phone:347-678-4291
Mailing Address - Fax:
Practice Address - Street 1:206 E 81ST ST APT 5D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-2622
Practice Address - Country:US
Practice Address - Phone:347-678-4291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-24
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY680994163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse