Individual
NKECHI FEARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1133 YORK AVE, NEW YORK, NY 10065-8307
(212) 639-2000
Mailing address
1133 YORK AVE, NEW YORK, NY 10065-8307
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306413
NY
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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