Individual
MRS. ALLISON ANN IMAHIYEROBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
161 FORT WASHINGTON AVE, RM P-695, NEW YORK, NY 10032-3729
(212) 305-4343
Mailing address
630 W 168TH ST, BOX 4, NEW YORK, NY 10032-3725
(212) 342-5155
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
605913
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
305561
NY
Other
Enumeration date
09/09/2010
Last updated
09/23/2015
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