Individual
AYNALEM SARAH BLISS HOSACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
424 E 147TH ST FL 1, BRONX, NY 10455-4104
(212) 553-6300
Mailing address
5643 MOSHOLU AVE APT 2, BRONX, NY 10471-2429
(347) 229-5169
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
933671
NY
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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