Provider Demographics
NPI:1982379962
Name:HEALING HANDS URGENT CARE
Entity Type:Organization
Organization Name:HEALING HANDS URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:ANGELIQUE
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:646-554-6769
Mailing Address - Street 1:105 RAVINE AVE APT 6B
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-2383
Mailing Address - Country:US
Mailing Address - Phone:914-294-4509
Mailing Address - Fax:
Practice Address - Street 1:408 W 57TH ST STE 1C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3053
Practice Address - Country:US
Practice Address - Phone:914-294-4509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty