Individual
ESMA RADONCIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30 HUNTER LN, CAMP HILL, PA 17011-2400
(212) 603-9767
Mailing address
1553 E 38TH ST, BROOKLYN, NY 11234-3419
(212) 603-9767
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
778093
NY
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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