Individual
MANIBE ATIBE GNAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 TERRACE AVE APT 255, HEMPSTEAD, NY 11550-2363
(347) 784-1265
Mailing address
100 TERRACE AVE APT 255, HEMPSTEAD, NY 11550-2363
(347) 784-1265
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
335051
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
516037741
UNITED STATES DEPARTMENT OF STATE
NY
Enumeration date
06/29/2019
Last updated
06/29/2019
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