Individual
IVY MAZIE ATTIPOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16814 127TH AVE APT 13D, JAMAICA, NY 11434-3160
(718) 528-7366
Mailing address
16814 127TH AVE APT 13D, JAMAICA, NY 11434-3160
(718) 528-7366
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
605551-1
NY
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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