Healthcare Provider Details

I. General information

NPI: 1730153297
Provider Name (Legal Business Name): GILBERTE ALBERTE VANSINTEJAN NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 CLARKSON AVE E BUILDING, 6TH FLOOR, SUITE D
BROOKLYN NY
11203-2057
US

IV. Provider business mailing address

54 MORNINGSIDE DR APT 61
NEW YORK NY
10025-1740
US

V. Phone/Fax

Practice location:
  • Phone: 718-245-3500
  • Fax:
Mailing address:
  • Phone: 212-864-9048
  • Fax: 212-341-8972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberF360249-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: