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Individual

EMMANUEL DEBOUVARY RHODES DENIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
2015 GRAND CONCOURSE, BRONX, NY 10453-4303
(718) 583-7736
(718) 537-6180
Mailing address
2626 HALPERIN AVE, BRONX, NY 10461-2631
(718) 618-0401
(347) 479-1303

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
678801
NY
163WR0006X
Registered Nurse First Assistant
678801
NY
164W00000X
Licensed Practical Nurse
308773
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405572
NY

Other

Enumeration date
12/23/2013
Last updated
02/09/2024
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