Individual
BLANCA CAROLINA MONGELOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2015 GRAND CONCOURSE, BRONX, NY 10453-4303
(718) 583-7736
(718) 537-6180
Mailing address
2626 HALPERIN AVE, BRONX, NY 10461-2631
(718) 618-0401
(347) 479-1303
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F351475
NY
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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