Individual
ASWANI RECORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3154 KINGSLAND AVE, BRONX, NY 10469-3117
(917) 514-1474
Mailing address
3154 KINGSLAND AVE, BRONX, NY 10469-3117
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
670432
NY
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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