Individual
EBENEZER VANDER PALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1366 VICTORY BLVD # B, STATEN ISLAND, NY 10301-3907
(718) 442-8351
Mailing address
1491 MACOMBS RD APT 8D, BRONX, NY 10452-2145
(718) 864-7922
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
720270
NY
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us