Individual provider · Type 1 NPI

Edmund C. Nebo, NP

Gerontology Nurse Practitioner · New Hyde Park, NY

NPI number 1407352370 Active

Practice location

1111 Marcus Ave
New Hyde Park, NY 11042-1221

Mailing address

170 E New York Ave
Valley Stream, NY 11580-6015

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X308605 (NY)
Gerontology Nurse Practitioner Primary 363LG0600X308605 (NY)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1407352370

Edmund C. Nebo, NP's National Provider Identifier is 1407352370, issued on Apr 1, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in New Hyde Park, NY. The record was last updated on Nov 27, 2024.