Wesley Paul Kalappura

Individual provider Active NPI Registered Nurse · Bardonia, NY

NPI 1336849686 · NPPES record last updated Mar 6, 2023

Key facts

NPI
1336849686
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
812978 (NY)
Practice address
3 Furphy LN
Bardonia, NY 10954-1630
Phone
(845) 500-0920
NPI assigned
Mar 6, 2023
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
812978NYMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 812978 NY Yes

Addresses

Primary practice location

3 Furphy LN
Bardonia, NY 10954-1630

Mailing address

3 Furphy LN
Bardonia, NY 10954-1630
Phone (845) 500-0920

Other providers in Bardonia, NY

All providers in Bardonia, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.