Individual provider · Type 1 NPI

Eileen Fortune Damante

Adult Health Nurse Practitioner · Elmhurst, NY

NPI number 1255429791 Active

Practice location

80th St & 41st Ave
Elmhurst, NY 11373-1329

Fax (718) 334-5958

Mailing address

7901 Broadway, Managed Care, D1-01
Elmhurst, NY 11373-1329

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XF303572 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1255429791

Eileen Fortune Damante's National Provider Identifier is 1255429791, issued on Oct 10, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Elmhurst, NY. The record was last updated on Aug 21, 2015.