Most Relevant Information
Provider Data
| NPI Number: | 1003280074 |
| Provider Name: | ORLANDO BRIDGE |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 708958 |
Most Important Dates
| Enumeration Date: | 11/13/2015 |
| Last Updated: | 11/13/2015 |
Provider Practice Location
665 ADEE AVE FL 1
BRONX
NY
104676802
Practice Location Phone/Fax
| Phone: | 9174887587 |
| Fax: |
Provider Mailing Location
665 ADEE AVE FL 1
BRONX
NY
104676802
Provider Mailing Phone/Fax
| Phone: | 9174887587 |
| Fax: |