Individual
EME O ASUQUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3041 AVENUE U, BROOKLYN, NY 11229-5126
(718) 615-0049
Mailing address
3423 ELY AVE, BRONX, NY 10469-2637
(718) 231-0842
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
22472234
NY
Other
Enumeration date
08/13/2010
Last updated
12/07/2015
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