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Individual

MS. ASHA BHARATH-GREGORY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
16701 GOTHIC DR, JAMAICA, NY 11432-1935
(718) 739-5942
(718) 739-4826
Mailing address
16701 GOTHIC DR, JAMAICA, NY 11432-1935
(718) 739-5942
(718) 739-4826

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
566606-1
NY

Other

Enumeration date
03/30/2012
Last updated
03/30/2012
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