EBENEZER VANDER PALLEN RN NPI 1760906143

NPI Information

NPI: 1760906143
Provider Name: EBENEZER VANDER PALLEN, RN
Classification: Nuclear Medicine - 207UN0902X
Entity Type: Individual

Specialization: Nuclear Imaging & Therapy

Address:
1366 VICTORY BLVD # B
STATEN ISLAND, NY
ZIP 10301
Phone: (718) 442-8351
Get Directions

Ebenezer Vander Pallen, RN is a nuclear imaging and therapy nuclear medicine in Staten Island, NY. The provider is a nuclear medicine physician who specializes in nuclear imaging and therapy. Ebenezer Vander Pallen, RN NPI is 1760906143. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1366 VICTORY BLVD # B
STATEN ISLAND, NY
ZIP 10301-907
Phone: (718) 442-8351

The enumeration date for this NPI number is 7/27/2017 and was last updated on 7/27/2017.

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	207UN0902X	Nuclear Medicine	Nuclear Imaging & Therapy	720270	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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