Individual
CEMIAJI POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 HIGHLAND AVE, MONROE, NY 10950-1118
(917) 825-4462
Mailing address
PO BOX 754, POMONA, NY 10970-0754
(917) 825-4462
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
34327
NY
174H00000X
Health Educator
34327
NY
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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