Individual provider · NPI-1

Phoebe Krisell Coronel Arceo

Registered Nurse, Gerontology · Staten Island, NY

NPI number1457182248

StatusActive

Last updated in NPPESAug 12, 2024

Details

NPI: 1457182248
Entity type: Individual (NPI-1)
Name: Phoebe Krisell Coronel Arceo
Sex: Female
Sole proprietor: No
Enumeration date: Aug 12, 2024
Certification date: Aug 12, 2024
Last updated: Aug 12, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
163WG0600X	Registered Nurse, Gerontology	828360-01	NY	Yes
163WA2000X	Registered Nurse, Administrator	828360-01	NY
163WH0200X	Registered Nurse, Home Health	828360-01	NY

Practice location

18 Carnegie Ave Fl 1
Staten Island, NY 10314-3820

Phone 929-215-5513

Mailing address

18 Carnegie Ave Fl 1
Staten Island, NY 10314-3820

Phone 929-215-5513

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