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

Ebenezer Vander Pallen, RN

Individual provider Nuclear Imaging & Therapy Physician · NPI 1760906143

Ebenezer Vander Pallen, RN is a Nuclear Imaging & Therapy Physician in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2017
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

1366 Victory Blvd # B
Staten Island, NY 10301-3907
Phone: (718) 442-8351
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nuclear Imaging & Therapy Physician (primary) Taxonomy 207UN0902X · Licence 720270 (NY)

Record details

NPI number1760906143
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedJuly 27, 2017
Last updated in NPPESJuly 27, 2017