Individual
AMBROSE ORERE-AMADU EDUONU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
772 E 233RD ST, BRONX, NY 10466-3200
(347) 843-0444
Mailing address
100 DE KRUIF PL APT 21C, BRONX, NY 10475-2422
(347) 345-9518
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
335490
NY
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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