1. Home
  2. Directory
  3. New York
  4. Cornwall
  5. Nurse Practitioner
  6. NPI Profile

SUPPORTIVE IMMEDIATE CARE
NPI 1669067435
Nurse Practitioner in Cornwall, NY

Active since March 04, 2021
10 ELM ST STE 1, CORNWALL, NY 12518(846) 276-0830 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Supportive Immediate Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPPORTIVE IMMEDIATE CARE (NPI 1669067435) is a healthcare organization registered as a nurse practitioner in Cornwall, New York and active in the NPI registry since March 2021. The organization lists Gilly Arthurs, Owner, as its authorized official.

NPPES Registry Identity

NPI1669067435
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameSUPPORTIVE IMMEDIATE CARE
Location Address10 ELM ST STE 1Cornwall, NY 12518-1486
Mailing Address10 Elm St Ste 1Cornwall, NY 12518-1486 · (846) 276-0830
Phone(846) 276-0830
Organization SubpartNo
Authorized OfficialGilly ArthursOwner · (846) 276-0830
Enumeration DateMarch 4, 2021
NPPES CertifiedMarch 4, 2021
✔ NPI 1669067435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
10 ELM ST STE 1, Cornwall, NY 12518
Open in Google Maps ↗

Other Names 1

Former Legal Business NameSupportive Immediate Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNMARIE COLANDREA LCSW
Social Worker (Clinical)
10 ELM ST STE 1
CORNWALL, NY 12518
Orange County (845) 288-2672

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Supportive Immediate Care's NPI number?

The NPI number for Supportive Immediate Care is 1669067435. It was assigned to this organization in the NPPES registry on March 4, 2021.

Where is Supportive Immediate Care located?

Supportive Immediate Care is located at 10 Elm St Ste 1, Cornwall, NY 12518. The listed phone number is (846) 276-0830.

What is Supportive Immediate Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Supportive Immediate Care was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.