Individual
NIA CHANTELLE RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-9000
Mailing address
4422 3RD AVE, BRONX, NY 10457-2545
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
UNSURE
FL
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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