Individual
ASANTAA CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
623 E 37TH ST, BROOKLYN, NY 11203-5601
(347) 693-1215
Mailing address
623 E 37TH ST, BROOKLYN, NY 11203-5601
(347) 693-1215
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
649393
NY
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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