Individual
MRS. IBTISAMA O NINCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 S EVERGREEN DR, SELDEN, NY 11784-3003
(631) 220-1299
Mailing address
31 S EVERGREEN DR, SELDEN, NY 11784-3003
(631) 220-1299
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
663191
NY
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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