Provider Demographics
NPI:1043542269
Name:PLATEL, EDOUARD (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:EDOUARD
Middle Name:
Last Name:PLATEL
Suffix:
Gender:M
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 KINGSLAND DR
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-1921
Mailing Address - Country:US
Mailing Address - Phone:845-639-9663
Mailing Address - Fax:
Practice Address - Street 1:9 KINGSLAND DR
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-1921
Practice Address - Country:US
Practice Address - Phone:845-639-9663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-12
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY609068-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse