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Organization

NURSE PRACTITIONER IN ADULT GERONTOLOGY FAMILY AND PALLATIVE

Active
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Organization

NURSE PRACTITIONER IN ADULT GERONTOLOGY FAMILY AND PALLATIVE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPHINE ZETILIA GABRIEL NP (MEMBER)
(917) 915-2866
Entity
Organization

Contact information

Practice address
100 WEST KINDSBRIDGE ROAD, BRONX, NY 10468-0355
(917) 915-2866
Mailing address
169 S MAIN ST, NEW CITY, NY 10956-3353
(917) 915-2866

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—

Other

Enumeration date
04/21/2021
Last updated
04/21/2021
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