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ANTHONIA AJIMAVO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2604 3RD AVE, BRONX, NY 10454-1199
(718) 292-0100
Mailing address
2604 3RD AVE, BRONX, NY 10454-1199
(718) 292-0100

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
F307288-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405705
NY

Other

Enumeration date
06/24/2015
Last updated
08/16/2024
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