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EBENEZER VANDER PALLEN RN
NPI 1760906143
Nuclear Medicine - Nuclear Imaging & Therapy in Staten Island, NY

Active since July 27, 2017
1366 VICTORY BLVD # B, STATEN ISLAND, NY 10301(718) 442-8351 Get Directions Write a Review

NPPES record last updated: July 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ebenezer Vander Pallen Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBENEZER VANDER PALLEN RN (NPI 1760906143) is an individual nuclear imaging & therapy provider in Staten Island, New York, licensed in New York (720270) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1760906143
Entity TypeIndividualMale
Primary Taxonomy207UN0902X
Provider Legal NameEBENEZER VANDER PALLENCredential: RN
Location Address1366 VICTORY BLVD # BStaten Island, NY 10301-3907
Mailing Address1491 Macombs Rd Apt 8dBronx, NY 10452-2145 · (718) 864-7922
Phone(718) 442-8351
Sole ProprietorYes
Enumeration DateJuly 27, 2017
✔ NPI 1760906143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNuclear Medicine · Nuclear Imaging & TherapyAllopathic & Osteopathic Physicians
Taxonomy Code207UN0902X
License✔ Licensed in NY · 720270
Definition
A nuclear medicine physician who specializes in nuclear imaging and therapy.
1366 VICTORY BLVD # B, Staten Island, NY 10301
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ebenezer Vander Pallen's NPI number?

The NPI number for Ebenezer Vander Pallen is 1760906143. It was assigned to this individual provider in the NPPES registry on July 27, 2017.

Where is Ebenezer Vander Pallen located?

Ebenezer Vander Pallen practices at 1366 Victory Blvd # B, Staten Island, NY 10301. The listed phone number is (718) 442-8351.

What is Ebenezer Vander Pallen's specialty?

The primary specialty registered for this NPI is Nuclear Medicine, specializing in Nuclear Imaging & Therapy, with taxonomy code 207UN0902X.

When was this NPI record last updated?

The NPPES record for Ebenezer Vander Pallen was last updated on July 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.