MEDICARE: DAVID CARDONA NP

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
1	363LA2100X	Acute Care Nurse Practitioner	433524	NY

General Provider Information

NPI Number	:	1699613000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID CARDONA NP

Provider Business Mailing Address
First Line	:	313 BROAD ST
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10304-2044
Country	:	US
Telephone Number	:	347-707-8755
Fax Number	:	347-707-8755

Provider Business Practice Location Address
First Line	:	313 BROAD ST
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10304-2044
Country	:	US
Telephone Number	:	347-707-8755
Fax Number	:	347-707-8755

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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