Healthcare Provider Details

I. General information

NPI: 1649794744
Provider Name (Legal Business Name): NATASHA ANN PINHEIRO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2017
Last Update Date: 07/31/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

441 E FORDHAM RD LOWR LEVEL
BRONX NY
10458-5149
US

IV. Provider business mailing address

6835 BURNS ST APT F6
FOREST HILLS NY
11375-5088
US

V. Phone/Fax

Practice location:
  • Phone: 718-817-4160
  • Fax:
Mailing address:
  • Phone: 917-279-1312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number306423
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: