Individual
MS. AKISSI B EDJEMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
53 CLINTON ST, STATEN ISLAND, NY 10304-2245
(718) 720-7034
(718) 720-7034
Mailing address
777 SEAVIEW AVE,, STATEN ISLAND, NY 10305-3409
(718) 668-8148
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305399-1
NY
Other
Enumeration date
04/25/2011
Last updated
05/23/2024
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