Individual
EDITH I CLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1204 E 223RD ST, BRONX, NY 10466-5802
(917) 834-7387
Mailing address
1204 E 223RD ST, BRONX, NY 10466-5802
(917) 834-7387
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
461791
NY
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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