MS. MARISSA ANN GATDULA N.P NPI 1174912554

NPI Information

NPI: 1174912554
Provider Name: MS. MARISSA ANN GATDULA, N.P
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
550 1ST AVE
SUITE 9V
NEW YORK, NY
ZIP 10016
Phone: (212) 263-7078
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MS. Marissa Ann Gatdula, N.P is an acute care nurse practitioner in New York, NY with 10 years of experience. MS. Marissa Ann Gatdula, N.P NPI is 1174912554. 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:

550 1ST AVE
SUITE 9V
NEW YORK, NY
ZIP 10016-402
Phone: (212) 263-7078

The NPI 1174912554 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/22/2015 and was last updated on 10/3/2018.

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	363LA2100X	Nurse Practitioner	Acute Care	430849	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: 4/28/2024

NPI Synchronization or Removal

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