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NPI Code Detail

MEDICARE: MS. MARIA VICTORIA ALBINA FNP-C, MPH, RN

MEDICARE: MS. MARIA VICTORIA ALBINA FNP-C, MPH, RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner338489NY
2363LF0000XFamily Nurse Practitioner5005417NC

General Provider Information

NPI Number : 1053680017
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARIA VICTORIA ALBINA FNP-C, MPH, RN
Provider Business Mailing Address
First Line : 17 JOHN ST STE 603
Second Line :
City : NEW YORK
State : NY
Zip : 10038-4010
Country : US
Telephone Number : 857-342-3387
Fax Number : 917-924-3371
Provider Business Practice Location Address
First Line : 17 JOHN ST STE 603
Second Line :
City : NEW YORK
State : NY
Zip : 10038-4010
Country : US
Telephone Number : 857-342-3387
Fax Number : 917-924-3371
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2011
Last Update Date : 11/13/2018

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