Individual
ADELAIDE OWUSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 MONTGOMERY AVE APT 4D, BRONX, NY 10453-6879
(917) 349-1691
Mailing address
1750 MONTGOMERY AVE APT 4D, BRONX, NY 10453-6879
(917) 349-1691
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
618372-1
NY
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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