MS. LINDA ELENA DALLAM NP NPI 1700945490

NPI Information

NPI: 1700945490
Provider Name: MS. LINDA ELENA DALLAM, NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
111 E 210TH ST
DEOD
BRONX, NY
ZIP 10467
Phone: (718) 920-6212
Get Directions

MS. Linda Elena Dallam, NP is a gerontology nurse practitioner in Bronx, NY. MS. Linda Elena Dallam, NP NPI is 1700945490. 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:

111 E 210TH ST
DEOD
BRONX, NY
ZIP 10467-401
Phone: (718) 920-6212
Fax: (718) 324-4246

The enumeration date for this NPI number is 12/8/2006 and was last updated on 7/8/2007.

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	363LG0600X	Nurse Practitioner	Gerontology	340025	NEW YORK	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q09246	MEDICARE UPIN	NEW YORK

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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