Individual
ILONE BAJJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 LENOX AVE, MT. VERNON, NY 10552
(646) 404-2946
Mailing address
6 LENOX AVE, MOUNT VERNON, NY 10552-2408
(646) 404-2946
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F339269
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
581683
RN
NY
Enumeration date
10/31/2016
Last updated
03/07/2023
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