Individual
EMILIENNE SOPHIE ANIBE-BAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 HERING AVE, BRONX, NY 10469-5321
(646) 821-6892
Mailing address
2700 HERING AVE, BRONX, NY 10469-5321
(646) 821-6892
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
F311205
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
F311205
NY
Other
Enumeration date
05/29/2023
Last updated
10/11/2023
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