Individual
KEZELY KALIVOGUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1230 WOODYCREST AVE APT 5E, BRONX, NY 10452-3732
(917) 319-8337
Mailing address
1230 WOODYCREST AVE APT 5E, BRONX, NY 10452-3732
(917) 319-8337
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
621561
NY
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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