Provider Demographics
NPI:1972374171
Name:DARTEY NP IN FAMILY HEALTH PLLC
Entity Type:Organization
Organization Name:DARTEY NP IN FAMILY HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:LOVELACE
Authorized Official - Middle Name:
Authorized Official - Last Name:DARTEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-541-5564
Mailing Address - Street 1:4554 RICHARDSON AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10470-1547
Mailing Address - Country:US
Mailing Address - Phone:646-541-5564
Mailing Address - Fax:718-432-0937
Practice Address - Street 1:4554 RICHARDSON AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10470-1547
Practice Address - Country:US
Practice Address - Phone:646-541-5564
Practice Address - Fax:718-432-0937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty