National Provider Identifier Database

EBENEZER VANDER PALLEN, RN – NPI #1760906143
Nuclear Imaging & Therapy


Contact Information

EBENEZER VANDER PALLEN, RN
1366 VICTORY BLVD # B
STATEN ISLAND, NY10301-3907
Phone: 718-442-8351
Fax:
Website:
Specialty Taxonomy Code
* Nuclear Imaging & Therapy 207UN0902X

* Indicates primary specialty

NPI Profile & details for EBENEZER VANDER PALLEN

NPI Number 1760906143
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 07/27/2017
Last updated 07/27/2017 - About 9 years ago
Sole proprietor1 Yes
Identifiers
  • NY License #: 720270
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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