Individual
ASMAU BELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4145 WILDER AVE, BRONX, NY 10466-2131
(917) 716-9971
Mailing address
4145 WILDER AVE, BRONX, NY 10466-2131
(917) 716-9971
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
318036
NY
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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