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Individual

GOLDA ESSUMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
675 3RD AVE FL 5, NEW YORK, NY 10017-5731
(212) 922-1001
Mailing address
17846 KILDARE RD, JAMAICA, NY 11432-1415
(571) 316-5296

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
765631
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209104425
CIGNA
NY
Enumeration date
08/09/2019
Last updated
08/09/2019
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