National Provider Identifier Database

KERTIS LIRIANO
Nursing Home Administrator

An individual, often licensed by the state, who is responsible for the management of a nursing home.


Contact Information

KERTIS LIRIANO
5331 195TH ST
FRESH MEADOWS, NY11365-1734
Phone: 917-412-7565
Fax:
Website:
Specialty Taxonomy Code
* Nursing Home Administrator 376G00000X

* Indicates primary specialty

NPI Profile & details for KERTIS LIRIANO

NPI Number 1396972378
Credentials
Entity Individual
Enumeration date 06/16/2009
Last updated 06/16/2009 - About 17 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 005990-1
  • NY Medicaid: LIRIANOPEREZ
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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