Healthcare Provider Details

I. General information

NPI: 1962590273
Provider Name (Legal Business Name): ELSA CADENA R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 HAVEN AVE STUDENT HEALTH SERVICE LOBBY MC
NEW YORK NY
10032-2604
US

IV. Provider business mailing address

29 WADSWORTH AVE APT. 3B
NEW YORK NY
10033-7055
US

V. Phone/Fax

Practice location:
  • Phone: 212-342-3943
  • Fax: 212-305-2176
Mailing address:
  • Phone: 212-740-4638
  • Fax: 212-305-2176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1400X
TaxonomyCollege Health Registered Nurse
License Number240911
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: