EBENEZER VANDER PALLEN

STATEN ISLAND, NY
NPI1760906143
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy
(Licence: NY  720270)
Enumeration Date2017-07-27
Last Update Date2017-07-27
Business Address
EBENEZER VANDER PALLEN RN
1366 VICTORY BLVD # B
STATEN ISLAND, NY 10301-3907
Phone number: 718-442-8351
Mailing Address
EBENEZER VANDER PALLEN RN
1491 MACOMBS RD APT 8D
BRONX, NY 10452-2145
Phone number: 718-864-7922
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