Individual
IVY CUDJOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 QUEENS PLZ N, LONG ISLAND CITY, NY 11101-4172
(718) 391-8300
Mailing address
2075 GRAND CONCOURSE APT 5A, BRONX, NY 10453-3821
(918) 999-2166
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
88031001
NY
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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