Individual
BIANKA AMBROISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2052 TILLOTSON AVE, BRONX, NY 10475-1560
(718) 671-2100
Mailing address
6424 18TH AVE, BROOKLYN, NY 11204-3729
(212) 687-7464
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
826692
NY
Other
Enumeration date
08/26/2013
Last updated
10/05/2023
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