Provider Demographics
NPI:1770604290
Name:BELL, VANESSA MAGELA (NP09)
Entity type:Individual
Prefix:MS
First Name:VANESSA
Middle Name:MAGELA
Last Name:BELL
Suffix:
Gender:F
Credentials:NP09
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:296 NOB HILL DR
Mailing Address - Street 2:
Mailing Address - City:ELMSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:10523-2434
Mailing Address - Country:US
Mailing Address - Phone:212-223-0716
Mailing Address - Fax:212-223-0857
Practice Address - Street 1:120 E 61ST ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-8102
Practice Address - Country:US
Practice Address - Phone:212-223-0716
Practice Address - Fax:212-223-0857
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY304577363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health