Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nurse Practitioner in Adult Gerontology Family and Pallative

Organization Adult Health Nurse Practitioner · NPI 1376124297

Nurse Practitioner in Adult Gerontology Family and Pallative is an Adult Health Nurse Practitioner in Bronx, New York. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

100 W Kindsbridge Rd
Bronx, NY 10468-0355
Phone: (917) 915-2866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X

Record details

NPI number1376124297
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Josephine Gabriel — Member · (917) 915-2866
NPI enumeratedApril 21, 2021
Last updated in NPPESApril 21, 2021
Certification dateMarch 26, 2021
Mailing address169 S Main St, New City, NY 10956-3353

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