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Ebenezer Vander Pallen, RN
Nuclear Imaging & Therapy Physician in Staten Island, New York
NPI 1760906143

Ebenezer Vander Pallen is a Nuclear Imaging & Therapy Physician based in Bronx, NY and is specialized in Nuclear Imaging & Therapy. Ebenezer Vander Pallen practices in Staten Island, NY and has the professional credentials of RN. The NPI Number for Ebenezer Vander Pallen is 1760906143 and holds a License No. 720270 (New York).

The current practice location address for Ebenezer Vander Pallen is 1366 Victory Blvd # B, Staten Island, NY and can be reached out via phone at 718-442-8351.

Location: 1366 Victory Blvd # B, Staten Island, NY, 10452-2145
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760906143
Provider Name
Ebenezer Vander Pallen
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
1366 Victory Blvd # B, Staten Island, NY, 10452-2145
Phone Number
718-442-8351
Fax Number
Provider Enumeration Date
07/27/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1366 Victory Blvd # B
City
Staten Island
State
New York
Zip
10301-3907
Phone Number
718-442-8351
Fax Number
person
Provider Business Mailing Address Details
Address
1366 Victory Blvd # B
City
Staten Island
State
New York
Zip
10301-3907
Phone Number
718-442-8351
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Nuclear Medicine
Speciality
Nuclear Imaging & Therapy
Taxonomy
207UN0902X
License No.
720270 (New York)
Definition
A nuclear medicine physician who specializes in nuclear imaging and therapy.
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