Individual
MINA SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7679
(201) 329-4476
Mailing address
1650 GRAND CONCOURSE, BRONX, NY 10457-7679
(201) 329-4476
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
618702
NY
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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