Individual provider · Type 1 NPI
Ebenezer Vander Pallen, RN
Nuclear Imaging & Therapy Physician · Staten Island, NY
NPI number
1760906143
Active
Practice location
1366 Victory Blvd # B
Staten Island, NY 10301-3907
Mailing address
1491 Macombs Rd Apt 8D
Bronx, NY 10452-2145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nuclear Imaging & Therapy Physician Primary | 207UN0902X | 720270 (NY) |
Nuclear Imaging & Therapy Physician: A nuclear medicine physician who specializes in nuclear imaging and therapy.
About NPI 1760906143
Ebenezer Vander Pallen, RN's National Provider Identifier is 1760906143, issued on Jul 27, 2017. The primary taxonomy on file is Nuclear Imaging & Therapy Physician (207UN0902X), and the practice location is in Staten Island, NY. The record was last updated on Jul 27, 2017.