Basic Information
| Provider Information | |||||||||
| NPI: | 1477918076 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RAO | ||||||||
| FirstName: | SUMANA | ||||||||
| MiddleName: | |||||||||
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| Credential: | RN | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 268 CANAL ST | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100133599 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2123796999 | ||||||||
| FaxNumber: | 2123796929 | ||||||||
| Practice Location | |||||||||
| Address1: | 268 CANAL ST | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100133599 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2123796999 | ||||||||
| FaxNumber: | 2123796929 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/23/2015 | ||||||||
| LastUpdateDate: | 12/29/2015 | ||||||||
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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 | 661199 | NY | Y | Nursing Service Providers | Registered Nurse |
No ID Information.