Basic Information
Provider Information
NPI: 1326387499
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALCINDOR
FirstName: NERLANDE
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1434 WILLIAMSBRIDGE RD
Address2:  
City: BRONX
State: NY
PostalCode: 104612507
CountryCode: US
TelephoneNumber: 7186180401
FaxNumber: 3474791303
Practice Location
Address1: 2015 GRAND CONCOURSE
Address2:  
City: BRONX
State: NY
PostalCode: 104534303
CountryCode: US
TelephoneNumber: 7182997295
FaxNumber: 7182996797
Other Information
ProviderEnumerationDate: 02/08/2013
LastUpdateDate: 01/15/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/15/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XF337133NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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