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ADJOA A MBAMALU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
197 CASWELL AVE, STATEN ISLAND, NY 10314-1901
(347) 553-0718
Mailing address
197 CASWELL AVE FL 2, STATEN ISLAND, NY 10314-1901
(347) 553-0718

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
745886-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
702562684
NY
Enumeration date
02/26/2019
Last updated
02/09/2026
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