KEILA CORDERO
NPI 1821334210
Nurse Practitioner - Family in Bronx, NY
Active since December 13, 2012
About Keila Cordero NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEILA CORDERO (NPI 1821334210) is an individual family provider in Bronx, New York, licensed in New York (339525) and active in the NPI registry since December 2012.
NPPES Registry Identity
NPI1821334210
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKEILA CORDERO
Location Address1065 SOUTHERN BLVDBronx, NY 10459-2417
Mailing Address1065 Southern BlvdBronx, NY 10459-2417 · (718) 589-2440 · Fax (718) 991-4516
Phone(718) 589-2440
Fax(718) 991-4516
Sole ProprietorNo
Enumeration DateDecember 13, 2012
Last NPPES UpdateJune 3, 2016
✔ NPI 1821334210 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 339525
Also ListedRegistered NurseTaxonomy 163W00000X · License 623463 (NY)
1065 SOUTHERN BLVD, Bronx, NY 10459
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821334210, enumerated as an "individual" on December 13, 2012.
The provider is located at 1065 SOUTHERN BLVD BRONX, NY 10459 and the phone number is (718) 589-2440.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.