Individual
BEVERLY ANDARDE BUCHANAN-TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3253 CORSA AVE, BRONX, NY 10469-2808
(718) 655-3165
Mailing address
3253 CORSA AVE, BRONX, NY 10469-2808
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
255102-1
NY
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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