Individual
MADONNA CABANGBANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4 BETTY ANNE DR, RENSSELAER, NY 12144-9644
(609) 647-0566
Mailing address
4 BETTY ANNE DR, RENSSELAER, NY 12144-9644
(609) 647-0566
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
584525
NY
163WP0200X
Pediatric Registered Nurse
Primary
584525
NY
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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