Individual
SAMIA EUNICE MAMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 E 233RD ST, BRONX, NY 10466-2604
(718) 920-9507
(718) 920-9582
Mailing address
77 LAW ST, VALLEY STREAM, NY 11580-1017
(646) 823-7843
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
450561
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
079455
NY
Other
Enumeration date
10/01/2008
Last updated
03/17/2020
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