Angelica Pancrudo in Bronx - Physician Assistant
Angelica Pancrudo - NPI 1962697540
Angelica Pancrudo is a Physician Assistant in Bronx, New York. Angelica Pancrudo practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Angelica Pancrudo is 1962697540. The last update date is 2007-09-07.
Angelica Pancrudo's current location address is 111 E 210th St, Bronx, New York. You can contact this provider via phone number 7189042904. The mailing address for Angelica Pancrudo is 111 E 210th St, Bronx, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angelica Pancrudo |
|---|---|
| Address | 111 E 210th St, Bronx, New York |
| Phone Number | 7189042904 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1962697540 |
|---|---|
| Provider Enumeration Date | 2007-09-07 |
| Last Updated Date | 2007-09-07 |
Provider Mailing Address Detail
| Address | 111 E 210th St |
|---|---|
| City | Bronx |
| State | New York (NY) |
| Post Code | 104672401 |
| Phone Number | 7189042904 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 11972 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identification code assigned to Angelica Pancrudo by the Centers for Medicare & Medicaid Services?
The Angelica Pancrudo has been issued the NPI (National Provider Identifier) 1962697540. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Angelica Pancrudo?
The Angelica Pancrudo is situated at 111 E 210Th St, in the city of Bronx, state of NY, with the zip code 104672401.
What is the Angelica Pancrudo's area of specialization and corresponding taxonomy classification?
The Angelica Pancrudo's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Angelica Pancrudo receive the assignment of its 1962697540 from the Centers for Medicare & Medicaid Services?
The Angelica Pancrudo was issued its 1962697540 by the Centers for Medicare & Medicaid Services on 2007-09-07.
As of what date was the information regarding Angelica Pancrudo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Angelica Pancrudo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-09-07.
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