Individual
MS. BEVERLY ELIZABETH VIRGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3600 JEROME AVE, BRONX, NY 10467-1052
(718) 231-8517
Mailing address
3029 COLDEN AVE, BRONX, NY 10469-3908
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
543341
NY
Other
Enumeration date
12/03/2009
Last updated
12/03/2009
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