MS. MARILYN J EJERCITO RN, BSN, MS
NPI 1649554809
Registered Nurse - Administrator in Goshen, NY
Active since October 06, 2011
About Ms. Marilyn J Ejercito Rn, Bsn, Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARILYN J EJERCITO RN, BSN, MS (NPI 1649554809) is an individual administrator provider in Goshen, New York, licensed in New York (297319-1) and active in the NPI registry since October 2011.
NPPES Registry Identity
NPI1649554809
Entity TypeIndividualFemale
Primary Taxonomy163WA2000X
Provider Legal NameMS. MARILYN J EJERCITOCredential: RN, BSN, MS
Location Address124 MAIN STGoshen, NY 10924-2124
Mailing Address124 Main St.Goshen, NY 10924 · (845) 291-2330 · Fax (845) 291-2380
Phone(845) 291-2330
Fax(845) 291-2380
Sole ProprietorNo
Enumeration DateOctober 6, 2011
✔ NPI 1649554809 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · AdministratorNursing Service Providers
Taxonomy Code163WA2000X
License✔ Licensed in NY · 297319-1
124 MAIN ST, Goshen, NY 10924
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Case Manager/Care Coordinator
124 MAIN ST, EARLY INTERVENTION PROGRAM
GOSHEN, NY 10924
GOSHEN, NY 10924
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649554809, enumerated as an "individual" on October 06, 2011.
The provider is located at 124 MAIN ST GOSHEN, NY 10924 and the phone number is (845) 291-2330.
Registered Nurse with taxonomy code 163WA2000X and a focus in Administrator.