Individual provider · Type 1 NPI
Linda Elena Dallam, NP
Gerontology Nurse Practitioner · Bronx, NY
NPI number
1700945490
Active
Practice location
111 E 210th St, Deod
Bronx, NY 10467-2401
Fax (718) 324-4246
Mailing address
679 W 239th St, Unit 4J
Bronx, NY 10463-1258
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 340025 (NY) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1700945490
Linda Elena Dallam, NP's National Provider Identifier is 1700945490, issued on Dec 8, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Bronx, NY. The record was last updated on Jul 8, 2007.