Healthcare Provider Details

I. General information

NPI: 1376968248
Provider Name (Legal Business Name): DENISE UNGARO R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2014
Last Update Date: 02/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 9TH AVE CHELSEA HEALTH CLINIC ROOM 219
NEW YORK NY
10001-5701
US

IV. Provider business mailing address

303 9TH AVE. CHELSEA HEALTH CLINIC ROOM 219
NEW YORK NY
10001
US

V. Phone/Fax

Practice location:
  • Phone: 212-239-1720
  • Fax: 212-571-0558
Mailing address:
  • Phone: 212-239-1720
  • Fax: 212-571-0558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number336494-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: