Individual provider · Type 1 NPI
Medardo Ocasiones Ebol Jr., RN
Adult Psychiatric/Mental Health Registered Nurse · Manhattan, NY
NPI number
1649819616
Active
Practice location
Kirby Forensic Psychiatric Center, Wards Island Complex
Manhattan, NY 10035-6095
Fax (914) 646-6892
Mailing address
410 Westchester Ave Unit 110
Port Chester, NY 10573-3619
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 637484 (NY) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
2 other providers at this address
Other adult psychiatric/mental health registered nurse providers in Manhattan
About NPI 1649819616
Medardo Ocasiones Ebol Jr., RN's National Provider Identifier is 1649819616, issued on Dec 23, 2019. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Manhattan, NY. The record was last updated on Dec 23, 2019.