PRANVERA DERVISHI


Address: 1334 Astor Ave, Pvh 2nd Floor, Bronx, NY 10469-5832
Phone: 6467032048

PRANVERA DERVISHI (NPI# 1053713164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053713164
Entity Type Individual
Full Name PRANVERA DERVISHI
Credential PA
Practice Address 1334 Astor Ave
Pvh 2nd Floor
Bronx
NY 10469-5832
Practice Telephone 6467032048
Mailing Telephone 6467032048
Enumeration Date 2014-09-19
Last Update Date 2014-09-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
018011 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1334 ASTOR AVE
PVH 2ND FLOOR
City BRONX
State NY
Zip Code 10469-5832

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1033775432 Sally Mendoza Licensed Practical Nurse 2506 Woodhul Ave, Bronx, NY 10469 2019-05-13
1215495221 Fasilat Ibrahim Registered Nurse 1117 Adee St, Bronx, NY 10469 2019-03-08
1467922096 Patience Marku Kitcher Registered Nurse 954 East 211 Street, Bronx, NY 10469 2018-11-27
1316422546 Leon Anibal Guzman Registered Nurse 3230 Paulding Ave 1fl, New York, NY 10469 2018-10-03
1205328358 Yesenia A. Arias Case Manager/Care Coordinator 1501 Astor Ave., Suite 1a, Bronx, NY 10469 2018-06-05
1720578719 Kimberly Carrion Alicea Psychologist 2323 Eastchester Rd #27, Bronx, NY 10469 2018-05-15
1235627993 Kayon Donaldson Nurse Practitioner 2904 Yates Ave, Bronx, NY 10469 2018-04-27
1699280404 Joyce Wallace Specialist 2825-2 Ely Avenue, Bronx, NY 10469 2017-12-04
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568006682 Walces Castelly Physician Assistant 860 Grand Concourse Apt 1l, Bronx, NY 10451-2815 2019-10-31
1447815949 Shadman Emrose Noshin Physician Assistant 2843 Dudley Ave Fl 2, Bronx, NY 10461-5609 2019-05-09
1275024952 Barbara Hoffman Physician Assistant 1017 Burke Ave, Bronx, NY 10469-3803 2018-05-29
1154791473 Edelmys Suncar Physician Assistant 1150 Webster Ave, Bronx, NY 10456-5205 2015-09-29
1083096697 Victoria Owusuaa Physician Assistant 2334 Tiebout Ave, Apt # 4e, Bronx, NY 10458-7310 2015-06-19
1093102865 Rlb Alternative Care Inc Physician Assistant 574 E 170th St, C/o Ricardo L. Baez, Bronx, NY 10456-2304 2015-04-20
1235532078 Ethan Searles Physician Assistant 91 Poplar Ave, Bronx, NY 10465-3943 2014-10-08
1588934814 Melinda Jimenez Physician Assistant 2306 Walton Ave, Bronx, NY 10468-7102 2012-01-03
1194094300 Ayisha Munawar Physician Assistant 285 E 171st St, Bronx, NY 10457-8939 2011-12-16
1629365994 Demetri N Bartley Physician Assistant 1804 Bogart Ave Fl 2, Bronx, NY 10462-3702 2011-07-07
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Competitor

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City BRONX
Zip Code 10469

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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