Individual
BASSEY KUBIANGHA OLUYEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R. N
Contact information
Practice address
35 HOLLAND AVE, APT. 11D, STATEN ISLAND, NY 10303-1219
(347) 857-5698
Mailing address
35 HOLLAND AVE, APT. 11D, STATEN ISLAND, NY 10303-1219
(347) 857-5698
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
656031
NY
171W00000X
Contractor
656031
NY
251E00000X
Home Health Agency
656031
NY
372600000X
Adult Companion
656031
NY
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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