Organization
BREAKTHROUGH FAMILY HEALTH NURSE PRACTITIONER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDNAH MADU NP (PRESIDENT)
(347) 623-2400
Entity
Organization
Contact information
Practice address
2825 3RD AVE, 3RD FLOOR, SUITE 10, BRONX, NY 10455-4066
(347) 623-2400
Mailing address
2626 93RD ST, EAST ELMHURST, NY 11369-1714
(347) 623-2400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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