Individual
AMEZE MARY AGHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 824-8854
Mailing address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 824-8854
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
345109
NY
Other
Enumeration date
09/26/2019
Last updated
03/16/2020
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