Individual
ABDOULIE NGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1070 HAVEMEYER AVE, BRONX, NY 10462-5310
(718) 863-6200
(914) 530-2161
Mailing address
1070 HAVEMEYER AVE, BRONX, NY 10462-5310
(718) 863-6200
(914) 530-2161
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
314392
NY
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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