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NPI Code Detail

MEDICARE: MRS. ARLENE VIXAMA

MEDICARE:  MRS. ARLENE  VIXAMA
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
1163W00000XRegistered Nurse445612NY

General Provider Information

NPI Number : 1255751046
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ARLENE VIXAMA
Provider Business Mailing Address
First Line : 1217 E 34TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-4138
Country : US
Telephone Number : 718-338-1263
Fax Number :
Provider Business Practice Location Address
First Line : 1217 E 34TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-4138
Country : US
Telephone Number : 718-338-1263
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2014
Last Update Date : 04/21/2014

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Directions to “ MRS. ARLENE VIXAMA ” Practice Location

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