Individual
CHARITY ADIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 N MAIN ST, SPRING VALLEY, NY 10977-4020
(845) 363-8140
Mailing address
9 KENSINGTON CIR APT H, GARNERVILLE, NY 10923-1613
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
321955
NY
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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