Individual
NOSAKHARE ANTHONY EGHAREVBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
370 GERARD AVE, BRONX, NY 10451-5432
(718) 585-6580
Mailing address
1611 BUSSING AVE, BRONX, NY 10466-4376
(646) 796-6884
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
672-309
NY
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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