Individual
MRS. IFEYINWA NICOLE ANEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRPA
Contact information
Practice address
10470 QUEENS BLVD STE 200, FOREST HILLS, NY 11375-3694
(718) 275-6010
Mailing address
10470 QUEENS BLVD STE 200, FOREST HILLS, NY 11375-3694
(718) 275-6010
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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