Individual
EGUOLO GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 WEBSTER AVE, ROOM 107, BRONX, NY 10457-8059
(718) 731-0308
(718) 731-0308
Mailing address
1600 WEBSTER AVE, ROOM 107, BRONX, NY 10457-8059
(718) 731-0308
(718) 731-0308
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
615372
NY
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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