Individual
MRS. CARON MAXINE BRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
665 ADEE AVE, 1ST FL., BRONX, NY 10467-6802
(917) 680-8732
Mailing address
665 ADEE AVE, 1ST FL., BRONX, NY 10467-6802
(917) 680-8732
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
628944-1
NY
Other
Enumeration date
11/13/2010
Last updated
11/13/2010
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