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Individual

ANNASTECIA MBAGWU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 SUMMIT AVE FL 3, WHITE PLAINS, NY 10606-3003
(347) 499-2400
Mailing address
1 SUMMIT AVE FL 3, WHITE PLAINS, NY 10606-3003
(347) 499-2400

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
330409-1
NY
363LF0000X
Family Nurse Practitioner
Primary
F359223
NY

Other

Enumeration date
03/16/2018
Last updated
03/25/2026
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