Individual
CARENE ELIZABETH EBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 WATERS PL, BRONX, NY 10461-2723
(929) 348-3454
Mailing address
3900 GREYSTONE AVE, BRONX, NY 10463-1937
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
712986-1
NY
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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