TRINIDAD D AGTARAP NURSE PRACTITIONER IN GERONTOLOGY PLLC


Address: 7116 34th Ave Apt 2b, Jackson Heights, NY 11372-1016
Phone: 3475071197

TRINIDAD D AGTARAP NURSE PRACTITIONER IN GERONTOLOGY PLLC (NPI# 1386118412) 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) 1386118412
Entity Type Organization
Organization Name TRINIDAD D AGTARAP NURSE PRACTITIONER IN GERONTOLOGY PLLC
Practice Address 7116 34th Ave Apt 2b
Jackson Heights
NY 11372-1016
Practice Telephone 3475071197
Mailing Telephone 3475071197
Enumeration Date 2019-01-11
Last Update Date 2019-01-11
Authorized Official Name TRINIDAD D AGTARAP (MANAGER)
Authorized Official Telephone 3475071197
Authorized Official Credential GNP-BC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Office Location

Street Address 7116 34TH AVE APT 2B
City JACKSON HEIGHTS
State NY
Zip Code 11372-1016

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1598234031 Bithi Roy Social Worker 37-08 91st St Jackson Heights, Suit 3a, Jackson Heights, NY 11372 2018-11-14
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City JACKSON HEIGHTS
Zip Code 11372

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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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