Individual
INA HYSI I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2334 BOSTON RD APT 12L, BRONX, NY 10467-9027
(929) 385-6542
Mailing address
2334 BOSTON ROAD 12L, BRONX, NY 10467
(929) 385-6542
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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