Individual
CHARLES EDUSEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1280 GIVAN AVE, GEVANS MEDICAL PRACTICE, BRONX, NY 10469
(347) 449-5936
(347) 449-5937
Mailing address
8 FORDHAM HILL OVAL APT 10G, BRONX, NY 10468-4807
(646) 319-5561
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F338710-1
NY
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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