person
Miss Ember Nicole Destefani, FNP-BC
Family Nurse Practitioner in New York, New York
NPI 1710242862

Ember Nicole Destefani is a Family Nurse Practitioner based in New York, NY and is specialized in Family. Ember Nicole Destefani practices in New York, NY and has the professional credentials of FNP-BC. The NPI Number for Ember Nicole Destefani is 1710242862 and holds a License No. F337111-1 (New York).

The current practice location address for Ember Nicole Destefani is 1824 Madison Ave, New York, NY and can be reached out via phone at 212-423-4500.

Location: 1824 Madison Ave, New York, NY, 10035-3832
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Provider Profile Details
NPI Number
1710242862
Provider Name
Ember Nicole Destefani
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1824 Madison Ave, New York, NY, 10035-3832
Phone Number
212-423-4500
Fax Number
Provider Enumeration Date
07/05/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F337111 01 NY LICENSE
institution
Provider Business Practice Location Address Details
Address
1824 Madison Ave
City
State
Zip
10035-3832
Phone Number
212-423-4500
Fax Number
person
Provider Business Mailing Address Details
Address
1824 Madison Ave
City
State
Zip
10035-3832
Phone Number
212-423-4500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
F337111-1 (New York)
Definition
Definition to come...
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