Healthcare Provider Details

I. General information

NPI: 1467601104
Provider Name (Legal Business Name): EPIFANI DIAZ ARMEDILLA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2008
Last Update Date: 09/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE GUSTAVE LEVY PLACE THE MOUNT SINAI HOSPITAL
NEW YORK NY
10029-6574
US

IV. Provider business mailing address

ONE GUSTAVE LEVY PLACE BOX 1495
NEW YORK NY
10029-6574
US

V. Phone/Fax

Practice location:
  • Phone: 212-241-8095
  • Fax: 212-348-0977
Mailing address:
  • Phone: 212-241-8095
  • Fax: 212-348-0977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF304174
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: