Gotham Per Diem

NPI 1013331867 - Home Health - 251E00000X

NPI Details
NPI 1013331867
Enumeration Date 02/14/2014
Last Updated 02/14/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name SHATAERA SHATAERA
Position REGISTERED NURSE
Phone (347) 228-8786
Fax (347) 763-0112
Practice Location
420 COLUMBIA ST APT 5B
BROOKLYN NY, 11231-2070, US
Phone (347) 228-8786
Fax (347) 763-0112
Business Location
420 COLUMBIA ST APT 5B
BROOKLYN NY, 11231-2070, US
Phone (347) 228-8786
Fax (347) 763-0112
Toxanomy
Taxonomy Code 251E00000X
License State New York
License Number 676183-1
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According to our database, Gotham Per Diem NPI is 1013331867, taxonomy code is 251E00000X and license number is 676183-1, license state is located at New York. Gotham Per Diem physically located at 420 Columbia St Apt 5b, Brooklyn NY, 11231-2070. NPI Number 1033115704 has the healthcare provider type.

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1013331867 NPI number is provided on an as is basis without warranty of any kind. 1013331867 is maintained by the National Plan & Provider Enumeration System. The contents of Gotham Per Diem are for informational purposes only.