Individual
BENEDICTA IZUKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4104 HILL AVE, BRONX, NY 10466-2106
(212) 933-4148
Mailing address
4104 HILL AVE, BRONX, NY 10466-2106
(212) 933-4148
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
778415
NY
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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