Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EBENEZER VANDER PALLEN, RN
Active Sole ProprietorEBENEZER VANDER PALLEN, RN is a Nuclear Imaging & Therapy healthcare provider located in STATEN ISLAND, New York. NPI 1760906143 is currently active in the NPPES registry. Verify at CMS.
Nuclear Imaging & Therapy · STATEN ISLAND, NY
Registration Details
- NPI Number
- 1760906143
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2017 (9.0657576273114 yrs)
- Last Updated
- Jul 27, 2017
- License
-
720270 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1366 VICTORY BLVD # BSTATEN ISLAND, NY, 103013907Browse NY providers · Browse ZIP 10301
- Phone
- 7184428351
- Primary Specialty
-
Nuclear Imaging & Therapy
207UN0902X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.