Individual
AINSEANLEA BONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
632 BROADWAY PH, NEW YORK, NY 10012-2614
(800) 731-4254
Mailing address
632 BROADWAY PH, NEW YORK, NY 10012-2614
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
939687
NY
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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