Individual
MS. ANDRIA EUDINE IFILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2028 PITMAN AVE, PH, BRONX, NY 10466-1926
(718) 325-4828
Mailing address
2028 PITMAN AVE, PH, BRONX, NY 10466-1926
(718) 325-4828
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
281931-1
NY
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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