Individual
ASHAWO BANGURAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
444 MADISON ST APT 1, BROOKLYN, NY 11221-1118
(646) 239-1045
Mailing address
444 MADISON ST APT 1, BROOKLYN, NY 11221-1118
(646) 239-1045
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
454357
NY
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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