Individual
CAROL IHEAGWARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2 PARK AVE, YONKERS, NY 10703-3402
(914) 966-9787
(914) 966-9793
Mailing address
PO BOX 998, ATTN: RIVERSIDE MANAGEMENT SERVICES, ORG., YONKERS, NY 10703-0998
(914) 966-9787
(914) 966-9793
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F333949
NY
Other
Enumeration date
07/17/2006
Last updated
10/22/2007
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