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NPI Code Detail

MEDICARE: COLLEGE OF MOUNT SAINT VINCENT

MEDICARE: COLLEGE OF MOUNT SAINT VINCENT
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
1261Q00000XClinic/CenterAP128641TX

General Provider Information

NPI Number : 1902281207
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLLEGE OF MOUNT SAINT VINCENT
Provider Business Mailing Address
First Line : 6301 RIVERDALE AVE
Second Line :
City : BRONX
State : NY
Zip : 10471-1046
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6301 RIVERDALE AVE
Second Line :
City : BRONX
State : NY
Zip : 10471-1046
Country : US
Telephone Number : 908-659-8872
Fax Number :
Authorized Official
Title or Position : NURSE PRACTITIONER
Name : MISS NENA TIUKINHOY
Credential : R.N., F.N.P.
Telephone Number : 908-659-8872
Provider Enumeration Date : 07/28/2015
Last Update Date : 07/28/2015

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Directions to “COLLEGE OF MOUNT SAINT VINCENT ” Practice Location

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