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Individual

AHJALE THYBULLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
Mailing address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F421607
NY

Other

Enumeration date
03/01/2023
Last updated
05/04/2023
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