Individual
CECILIA GBONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
955 SHERIDAN AVE, BRONX, NY 10456-6316
(646) 835-9595
Mailing address
955 SHERIDAN AVE, BRONX, NY 10456-6316
(646) 835-9595
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
317868
NY
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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