Provider Demographics
NPI:1841179314
Name:AHEARN, TONI SUE (BSN,RN)
Entity type:Individual
Prefix:
First Name:TONI
Middle Name:SUE
Last Name:AHEARN
Suffix:
Gender:F
Credentials:BSN,RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 SEAMAN AVE APT 2J
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-2973
Mailing Address - Country:US
Mailing Address - Phone:516-310-9026
Mailing Address - Fax:
Practice Address - Street 1:17 SEAMAN AVE APT 2J
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10034-2973
Practice Address - Country:US
Practice Address - Phone:516-310-9026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY751114163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse