Individual
BERTRAN MOMBRUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
67 SPRING BROOK RD, NANUET, NY 10954-4423
(845) 270-2432
Mailing address
67 SPRING BROOK RD, NANUET, NY 10954-4423
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
758463
NY
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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