Provider Demographics
NPI:1962271908
Name:ANUNCIACION, AVON UYLENGCO
Entity type:Individual
Prefix:
First Name:AVON
Middle Name:UYLENGCO
Last Name:ANUNCIACION
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1480 PARKCHESTER RD
Mailing Address - Street 2:APT 5A
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-7638
Mailing Address - Country:US
Mailing Address - Phone:929-289-7830
Mailing Address - Fax:
Practice Address - Street 1:1480 PARKCHESTER RD
Practice Address - Street 2:APT 5A
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-7638
Practice Address - Country:US
Practice Address - Phone:929-289-7830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-01
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY763965163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse