Healthcare Provider Details

I. General information

NPI: 1992864698
Provider Name (Legal Business Name): LINDA VOLPE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 10/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29-01 216 STREET
BAYSIDE NY
11360-1138
US

IV. Provider business mailing address

630 W 246TH ST APT 1434
BRONX NY
10471-3631
US

V. Phone/Fax

Practice location:
  • Phone: 718-281-8701
  • Fax: 718-281-8590
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number175557
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: