Individual
ANDOUAH ASSEBIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
337 LENOX AVE, NEW YORK, NY 10027-3703
(646) 854-2424
Mailing address
2130 7TH AVE APT 2D, NEW YORK, NY 10027-3745
(917) 436-2710
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309942
NY
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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