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NPI Code Detail

MEDICARE: AMIROSE CARDINES

MEDICARE:   AMIROSE  CARDINES
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 PractitionerF346856-01NY
2363LF0000XFamily Nurse Practitioner26NJ01070300NJ

General Provider Information

NPI Number : 1972256642
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMIROSE CARDINES
Provider Business Mailing Address
First Line : 241 WESTFIELD AVE
Second Line :
City : CLARK
State : NJ
Zip : 07066-1547
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 241 WESTFIELD AVE
Second Line :
City : CLARK
State : NJ
Zip : 07066-1547
Country : US
Telephone Number : 732-381-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2022
Last Update Date : 09/11/2023

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Directions to “ AMIROSE CARDINES ” Practice Location

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