Individual
DAVID CHIMEZIE NWACHUKWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
Mailing address
469 S 4TH AVE, MOUNT VERNON, NY 10550-4401
(646) 228-9941
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313498
NY
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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