Provider Demographics
NPI:1366715617
Name:DILLON, NORMA MAY
Entity type:Individual
Prefix:MRS
First Name:NORMA
Middle Name:MAY
Last Name:DILLON
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:NORMA
Other - Middle Name:MAY
Other - Last Name:DILLON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:7 NORFOLK DR W
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-4815
Mailing Address - Country:US
Mailing Address - Phone:516-284-7823
Mailing Address - Fax:516-284-7823
Practice Address - Street 1:7 NORFOLK DR W
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-4815
Practice Address - Country:US
Practice Address - Phone:516-284-7823
Practice Address - Fax:516-284-7823
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-16
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY449636163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse