Provider Demographics
NPI:1205102480
Name:CARDOZA, GLADYS CECILY (RN)
Entity type:Individual
Prefix:MISS
First Name:GLADYS
Middle Name:CECILY
Last Name:CARDOZA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:240 E 109TH ST
Mailing Address - Street 2:B19
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-3703
Mailing Address - Country:US
Mailing Address - Phone:212-831-5455
Mailing Address - Fax:212-831-5021
Practice Address - Street 1:240 E 109TH ST
Practice Address - Street 2:B19
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-3703
Practice Address - Country:US
Practice Address - Phone:212-831-5455
Practice Address - Fax:212-831-5021
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-01
Last Update Date:2012-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY250722163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool