Provider Demographics
NPI:1841701208
Name:ESSENTIAL RN PLLC
Entity type:Organization
Organization Name:ESSENTIAL RN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:TRENTACOSTA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:718-428-2022
Mailing Address - Street 1:40-04A BELL BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361
Mailing Address - Country:US
Mailing Address - Phone:718-428-2022
Mailing Address - Fax:718-428-2033
Practice Address - Street 1:4004 BELL BLVD STE A
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-2078
Practice Address - Country:US
Practice Address - Phone:718-428-2022
Practice Address - Fax:718-428-2033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-12
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty