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Contact Information

NURSE PRACTITIONER IN ADULT GERONTOLOGY FAMILY AND PALLATIVE
169 S MAIN STREET
SUITE 352
NEW CITY, NY10956
 Phone: 844-482-8677
 Fax: 718-763-1203
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for NURSE PRACTITIONER IN ADULT GERONTOLOGY FAMILY AND PALLATIVE

NPI Number 1720659634
LBN Legal business name NURSE PRACTITIONER IN ADULT GERONTOLOGY FAMILY AND PALLATIVE
Authorized official JOSEPHINE GABRIEL - (SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 07/02/2021
Last updated 07/02/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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