Individual
MISS CONSTANCE AMEYAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
112 TUDOR PL, #4A, BRONX, NY 10452-8558
(646) 217-9275
Mailing address
112 TUDOR PL, #4A, BRONX, NY 10452-8558
(646) 217-9275
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
309168-1
NY
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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