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Individual

MISS BIANCA SAWH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
89 BARTLETT ST, BROOKLYN, NY 11206-4429
(718) 828-2666
Mailing address
165 HIGHLAND AVE, STATEN ISLAND, NY 10301-4000
(917) 774-1255

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
739023
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
W182241330
AETNA
NY
Enumeration date
04/18/2018
Last updated
06/16/2018
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