Provider Demographics
NPI:1366712291
Name:VERNOLA, RENEE SUEZETTE (RN, SNT)
Entity type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:SUEZETTE
Last Name:VERNOLA
Suffix:
Gender:F
Credentials:RN, SNT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:159 HARRIMAN HEIGHTS RD
Mailing Address - Street 2:BOX 1033
Mailing Address - City:HARRIMAN
Mailing Address - State:NY
Mailing Address - Zip Code:10926-3909
Mailing Address - Country:US
Mailing Address - Phone:845-460-6500
Mailing Address - Fax:845-460-6035
Practice Address - Street 1:159 HARRIMAN HEIGHTS RD
Practice Address - Street 2:BOX 1033
Practice Address - City:HARRIMAN
Practice Address - State:NY
Practice Address - Zip Code:10926-3909
Practice Address - Country:US
Practice Address - Phone:845-460-6500
Practice Address - Fax:845-460-6035
Is Sole Proprietor?:No
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY480408-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool