Linda Elena Dallam NP

NPI 1700945490 - Nurse Practitioner - 363LG0600X

NPI Details
NPI 1700945490
Gender Female
Enumeration Date 12/08/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
111 E 210TH ST
BRONX NY, 10467-2401, US
Phone (718) 920-6212
Fax (718) 324-4246
Business Location
679 W 239TH ST
BRONX NY, 10463-1258, US
Phone (718) 601-1305
Taxonomy Code 363LG0600X
License State New York
License Number 340025
Remove 1700945490 NPI Number

According to our database, Ms. Linda Elena Dallam NP NPI is 1700945490, taxonomy code is 363LG0600X and license number is 340025, license state is located at New York. Linda Elena Dallam NP physically located at 111 E 210th St, Bronx NY, 10467-2401. NPI Number Linda Elena Dallam NP has the Individual type.

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1700945490 NPI number is provided on an as is basis without warranty of any kind. 1700945490 is maintained by the National Plan & Provider Enumeration System. The contents of Linda Elena Dallam NP are for informational purposes only.