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NPI Code Detail

MEDICARE: EDELINE LESPERANCE

MEDICARE: EDELINE LESPERANCE
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 Nurse621104NY

General Provider Information

NPI Number : 1427408848
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDELINE LESPERANCE
Provider Business Mailing Address
First Line : 336 W 263RD ST
Second Line :
City : BRONX
State : NY
Zip : 10471-1106
Country : US
Telephone Number : 718-884-7800
Fax Number : 718-549-2857
Provider Business Practice Location Address
First Line : 336 W 263RD ST
Second Line :
City : BRONX
State : NY
Zip : 10471-1106
Country : US
Telephone Number : 718-884-7800
Fax Number : 718-549-2857
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2016
Last Update Date : 06/16/2016

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Directions to “ EDELINE LESPERANCE ” Practice Location

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