NPI 1457182248 · live from the CMS NPI Registry
Phoebe Krisell Coronel Arceo
Registered Nurse, Gerontology in Staten Island, NY. National Provider Identifier 1457182248, active.
NPI record
| NPI | 1457182248 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Gerontology 163WG0600X |
| Practice location | 18 Carnegie Ave Fl 1, Staten Island, NY 10314 |
| Practice phone | 929-215-5513 |
| Enumerated | August 12, 2024 |
| Last updated | August 12, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Administrator | 163WA2000X | 828360-01 (NY) |
| Registered Nurse, Home Health | 163WH0200X | 828360-01 (NY) |
| Registered Nurse, Gerontology primary | 163WG0600X | 828360-01 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.