PRANVERA DERVISHI PA NPI 1053713164

NPI Information

NPI: 1053713164
Provider Name: PRANVERA DERVISHI, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
1334 ASTOR AVE
PVH 2ND FLOOR
BRONX, NY
ZIP 10469
Phone: (646) 703-2048
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Pranvera Dervishi, PA is a medical physician assistant in Bronx, NY. Pranvera Dervishi, PA NPI is 1053713164. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1334 ASTOR AVE
PVH 2ND FLOOR
BRONX, NY
ZIP 10469-832
Phone: (646) 703-2048

The enumeration date for this NPI number is 9/19/2014 and was last updated on 9/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	018011	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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