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STEPHEN ANSONG registered nurse

Individual Provider (NPI-1) Active

Nurse Practitioner, Family

Provider Information

NPI Number
1386151231
Provider Type
Individual Provider (NPI-1)
Credentials
registered nurse
Status
Active

Contact & Location

Address
750 BRYANT AVE APT 3E, BRONX, NY, 104747410
Phone
(347) 849-2403

Specialties & Taxonomies

Registered Nurse, Home Health License: NY #723925
Nurse Practitioner, Family Primary License: NY #F349475

All Addresses

LOCATION

750 BRYANT AVE APT 3E

BRONX, NY, 104747410

(347) 849-2403

MAILING

2015 GRAND CONCOURSE

BRONX, NY, 104534303

(718) 583-7736