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O.b. Adult Health Nurse Practitioner Services Pc
Gerontology Clinical Nurse Specialist in Staten Island, New York
NPI 1164933487

O.b. Adult Health Nurse Practitioner Services Pc is a Gerontology Clinical Nurse Specialist based in Staten Island, NY and is specialized in Gerontology. O.b. Adult Health Nurse Practitioner Services Pc practices in Staten Island, NY. The NPI Number for O.b. Adult Health Nurse Practitioner Services Pc is 1164933487 and holds a License No. F307489 (New York).

The current practice location address for O.b. Adult Health Nurse Practitioner Services Pc is 209 Broad St, Staten Island, NY and can be reached out via phone at 917-374-9180 and via fax at 718-448-7263.

Location: 209 Broad St, Staten Island, NY, 10304-3607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164933487
Provider Name
O.b. Adult Health Nurse Practitioner Services Pc
Credential
Provider Entity Type
Organization
Address
209 Broad St, Staten Island, NY, 10304-3607
Phone Number
917-374-9180
Fax Number
718-448-7263
Provider Enumeration Date
10/13/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
209 Broad St
City
Staten Island
State
New York
Zip
10304-2105
Phone Number
917-374-9180
Fax Number
718-448-7263
person
Provider Business Mailing Address Details
Address
209 Broad St
City
Staten Island
State
New York
Zip
10304-2105
Phone Number
917-374-9180
Fax Number
718-448-7263
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
573342 (New York)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
F307489 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Gerontology
Taxonomy
364SG0600X
License No.
F307489 (New York)
Definition
Definition to come...
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