Individual
DORIS AMALU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1052 ANDERSON AVE, APT-2C, BRONX, NY 10452-5348
(718) 671-2100
Mailing address
3302 BOUCK AVE, BRONX, NY 10469-2920
(347) 932-2472
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F346824-01
NY
Other
Enumeration date
08/04/2010
Last updated
12/07/2020
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