Individual
A'ASE FORBES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
226 LINDA AVE, HAWTHORNE, NY 10532-2018
(914) 773-7300
Mailing address
1985 CRESTON AVE, BRONX, NY 10453-4832
(908) 468-6416
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
563738
NY
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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