Individual
ANGELE MBASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1474 WATSON AVE APT 2R, BRONX, NY 10472-5354
(347) 400-3312
Mailing address
1474 WATSON AVE APT 2R, BRONX, NY 10472-5354
(347) 400-3312
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
251999
NY
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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