Individual provider · Type 1 NPI
Oliver Sangcap Ilao, AGPCNP-BC, CCRN-CSC
Adult Health Nurse Practitioner · New York, NY
NPI number
1124489398
Active
Practice location
One Gustave L. Levy Place
New York, NY 10029-6574
Mailing address
9031 215th Pl
Queens Village, NY 11428-1229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 306974 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1124489398
Oliver Sangcap Ilao, AGPCNP-BC, CCRN-CSC's National Provider Identifier is 1124489398, issued on Mar 15, 2016. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Sep 10, 2016.