Individual
PAMELA BACANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN,CCRN,MSN,CPNP
Contact information
Practice address
3415 BAINBRIDGE AVE, BRONX, NY 10467-2403
(718) 920-7850
Mailing address
3415 BAINBRIDGE AVE, BRONX, NY 10467-2403
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382315
NY
Other
Enumeration date
11/27/2015
Last updated
11/27/2015
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