Individual
MISS ANAISE E IKAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
675 3RD AVE FL 5, NEW YORK, NY 10017-5731
(212) 810-4185
(646) 763-8425
Mailing address
2264 21ST ST, ASTORIA, NY 11105-3703
(347) 451-0987
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
651563-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
QN51802B
—
NY
Enumeration date
02/06/2015
Last updated
02/06/2015
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