Individual
BYA BAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133 BREWERY RD, NEW CITY, NY 10956-6033
(347) 515-0105
Mailing address
133 BREWERY RD, NEW CITY, NY 10956-6033
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
343222
NY
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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