Individual
MR. ALFREDO BUGANTE DE JESUS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
3363 SEDGWICK AVE, 4R, BRONX, NY 10463-6045
(347) 399-0963
(347) 326-6930
Mailing address
3363 SEDGWICK AVE, 4R, BRONX, NY 10463-6045
(347) 399-0963
(347) 326-6930
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
299225
NY
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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