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Individual

BOUNTAH ONG OSPINA LAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
REGISTERED NURSE

Contact information

Practice address
227 E 41ST ST, 8TH FLOOR, NEW YORK, NY 10017
(212) 273-6272
Mailing address
227 EAST 41ST STREET, 8TH FLOOR, NEW YORK, NY 10017

Taxonomy

Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
796187
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
796187
RN LICENSE
NY
Enumeration date
12/12/2022
Last updated
12/12/2022
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