Vallery Philleseter Dacosta RN

NPI 1700184785 - Registered Nurse - 163W00000X

NPI Details
NPI 1700184785
Gender Female
Enumeration Date 03/01/2011
Last Updated 03/01/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
3244 WILSON AVE
PH
BRONX NY, 10469-2908, US
Phone (718) 655-8326
Fax
Business Location
3244 WILSON AVE
PH
BRONX NY, 10469-2908, US
Phone (718) 655-8326
Fax
Toxanomy
Taxonomy Code 163W00000X
License State New York
License Number 423102-1
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According to our database, Mrs. Vallery Philleseter Dacosta RN NPI is 1700184785, taxonomy code is 163W00000X and license number is 423102-1, license state is located at New York. Vallery Philleseter Dacosta RN physically located at 3244 Wilson Ave, Bronx NY, 10469-2908. NPI Number Vallery Philleseter Dacosta RN has the Individual type.

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1700184785 NPI number is provided on an as is basis without warranty of any kind. 1700184785 is maintained by the National Plan & Provider Enumeration System. The contents of Vallery Philleseter Dacosta RN are for informational purposes only.