Organization
IBRAHIM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IBRAHIM A MUMUNI (LICENSED PRATICAL NURSE)
(347) 301-1428
Entity
Organization
Contact information
Practice address
1915 MORRIS AVE, BRONX, NY 10453-5920
(347) 301-1428
Mailing address
1915 MORRIS AVE, BRONX, NY 10453-5920
(347) 301-1428
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
316172
NY
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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