Organization · Type 2 NPI
O.b. Adult Health Nurse Practitioner Services PC
Clinic/Center · Staten Island, NY
Practice location
209 Broad St
Staten Island, NY 10304-2105
Fax (718) 448-7263
Mailing address
224 Osgood Ave
Staten Island, NY 10304-3607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | F307489 (NY) |
| Adult Health Nurse Practitioner | 363LA2200X | F307489 (NY) |
| Gerontology Clinical Nurse Specialist | 364SG0600X | 573342 (NY) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2 other providers at this address
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About NPI 1164933487
O.b. Adult Health Nurse Practitioner Services PC's National Provider Identifier is 1164933487, issued on Oct 13, 2017. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Staten Island, NY. The record was last updated on Nov 2, 2018.