Individual
AVERIL ELIZABETH NEMBHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL ASSISTANCE
Contact information
Practice address
2728 PAULDING AVE FL 1, BRONX, NY 10469-4108
(914) 758-3153
(718) 547-4648
Mailing address
2728 PAULDING AVE FL 1, BRONX, NY 10469-4108
(914) 758-3153
(718) 547-4648
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
85-2122781
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85--2122781
HOME CAR SERVICE
NY
Enumeration date
09/10/2020
Last updated
09/10/2020
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