Individual
MISS MAYA-SOPHIE CONCEPCION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
233 E 96TH ST APT 2FW, NEW YORK, NY 10128-0265
(646) 639-9913
Mailing address
233 E 96TH ST APT 2FW, NEW YORK, NY 10128-0265
(646) 639-9913
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
597424-1
NY
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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