Individual
IRENROSE REVELDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(212) 305-8559
(212) 305-8944
Mailing address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(212) 305-8559
(212) 305-8944
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
312056
NY
Other
Enumeration date
10/30/2024
Last updated
11/13/2024
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