Individual
IDONGESIT MFON BASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
177 FT WASHINGTN AVE FL 7, NEW YORK, NY 10032-3733
(212) 305-4134
Mailing address
2807 SEXTON PLACE, BRONX, NY 10469
(718) 655-7589
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F430572-1
NY
Other
Enumeration date
10/17/2012
Last updated
04/20/2023
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