Individual
AUDREY NETHERSOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1432 5TH AVE, NEW YORK, NY 10035-4521
(646) 289-7737
Mailing address
1432 FIFTH AVENUE, NEW YORK, NY 10035-1223
(646) 289-7737
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
417953
NY
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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