NURSE PRACTITIONER IN ADULT GERONTOLOGY FAMILY AND PALLATIVE NPI 1376124297

NPI Information

NURSE PRACTITIONER IN ADULT GERONTOLOGY FAMILY AND PALLATIVE is an adult health nurse practitioner in Bronx, NY. NURSE PRACTITIONER IN ADULT GERONTOLOGY FAMILY AND PALLATIVE NPI is 1376124297. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 WEST KINDSBRIDGE ROAD
BRONX, NY
ZIP 10468-355
Phone: (917) 915-2866

The provider's authorized official is Josephine Zetilia Gabriel .
The authorized official title is Member and has the following contact phone number (917) 915-2866.

The enumeration date for this NPI number is 4/21/2021 and was last updated on 4/21/2021.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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