Individual
BARBARA MMAMMA IFEANYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
DEPARTMENT OF HEALTH AND MENTAL HYGIENE, 42-09 28TH STREET, LONG ISLAND CITY, NY 11101
(347) 396-2176
Mailing address
97 SPARTAN AVE, STATEN ISLAND, NY 10303-1750
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
572777-1
NY
363LF0000X
Family Nurse Practitioner
Primary
351404
NY
Other
Enumeration date
08/27/2019
Last updated
07/25/2023
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