Provider Demographics
NPI:1528332442
Name:MOTILALL, BEBI ZOREENA (RN)
Entity type:Individual
Prefix:MRS
First Name:BEBI
Middle Name:ZOREENA
Last Name:MOTILALL
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 1:10951 153RD ST
Mailing Address - Street 2:FL1
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11433-3148
Mailing Address - Country:US
Mailing Address - Phone:718-849-5156
Mailing Address - Fax:
Practice Address - Street 1:10951 153RD ST
Practice Address - Street 2:FL1
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11433-3148
Practice Address - Country:US
Practice Address - Phone:718-849-5156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-24
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY576714-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse