Individual
BLESS NYEMIKUTSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
825 WESTWOOD AVE, STATEN ISLAND, NY 10314-4341
(347) 465-5405
Mailing address
825 WESTWOOD AVE, STATEN ISLAND, NY 10314-4341
(347) 465-5405
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
777341
NY
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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