Linda Elena Dallam, NP Valid NPI
Individual provider · Gerontology Nurse Practitioner · Bronx, NY
- NPI
- 1700945490
- Type
- Individual (Type 1)
- Primary specialty
- Gerontology Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LG0600X
- License number
- 340025 (NY)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2006-12-08
- Last updated
- 2007-07-08
Practice location
111 E 210th St, Deod
Bronx, NY 10467-2401
(718) 920-6212