Xylina Pettiford

NPI 1780074963 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1780074963
Gender Female
Enumeration Date 01/27/2015
Last Updated 01/27/2015
Entity Type Individual
Active Over 2 years ago
Practice Location
622 WEST 168 STREET
NEW YORK NY, 10032, US
Phone (212) 305-2500
Fax (212) 305-2500
Business Location
271 CADMAN PLAZA WEST
#21062
BROOKLYN NY, 11202, US
Phone
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 2788181
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According to our database, Xylina Pettiford NPI is 1780074963, taxonomy code is 164W00000X and license number is 2788181, license state is located at New York. Xylina Pettiford physically located at 622 West 168 Street, New York NY, 10032. NPI Number Xylina Pettiford has the Individual type.

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1780074963 NPI number is provided on an as is basis without warranty of any kind. 1780074963 is maintained by the National Plan & Provider Enumeration System. The contents of Xylina Pettiford are for informational purposes only.