Individual
ESIMA IDOLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3514 ROCHAMBEAU AVE APT 4A, BRONX, NY 10467
(929) 228-8250
Mailing address
3514 ROCHAMBEAU AVE APT 4A, BRONX, NY 10467
(929) 228-8250
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
320623
NY
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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