Basic Information
| Provider Information | |||||||||
| NPI: | 1245312628 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DEMPSEY | ||||||||
| FirstName: | LOREN | ||||||||
| MiddleName: | O'CONNOR | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | RN, CPNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 24 RHODE ISLAND AVE | ||||||||
| Address2: | |||||||||
| City: | MASSAPEQUA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117583834 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5165417995 | ||||||||
| FaxNumber: | 5162924651 | ||||||||
| Practice Location | |||||||||
| Address1: | 201 PRESIDENT ST | ||||||||
| Address2: | HEMPSTEAD HIGH HEALTH CENTER | ||||||||
| City: | HEMPSTEAD | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115504718 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5162927111 | ||||||||
| FaxNumber: | 5162924651 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/19/2006 | ||||||||
| LastUpdateDate: | 01/08/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 436378-1 | NY | N | Nursing Service Providers | Registered Nurse | 363LP0200X | F380731-1 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Pediatrics |
No ID Information.