Provider Demographics
NPI:1922367499
Name:MESSER, THELMA DELCITA (RN)
Entity Type:Individual
Prefix:MISS
First Name:THELMA
Middle Name:DELCITA
Last Name:MESSER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:120 ELGAR PL
Mailing Address - Street 2:APT. 30B
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-5103
Mailing Address - Country:US
Mailing Address - Phone:718-320-8577
Mailing Address - Fax:718-585-4624
Practice Address - Street 1:470 JACKSON AVE.
Practice Address - Street 2:116
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455
Practice Address - Country:US
Practice Address - Phone:718-993-5581
Practice Address - Fax:718-585-4624
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-03
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY165345374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0287625Medicaid