Provider Demographics
NPI:1316269335
Name:MCGROWDER, BILINDER CASSANDRA (REGISTERED NURSE)
Entity type:Individual
Prefix:MS
First Name:BILINDER
Middle Name:CASSANDRA
Last Name:MCGROWDER
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:BILINDER
Other - Middle Name:CASSANDRA
Other - Last Name:MCGROWDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LICENSED PRAC NURSE
Mailing Address - Street 1:768 HENDRIX ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-7210
Mailing Address - Country:US
Mailing Address - Phone:917-455-6022
Mailing Address - Fax:
Practice Address - Street 1:16937 144TH RD
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434-5929
Practice Address - Country:US
Practice Address - Phone:718-978-7222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-17
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6098941163W00000X
NY2676561164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse