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Individual

MRS. CASSANDRA NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DRIVER/NEMT

Contact information

Practice address
2748 HOLLAND AVE, 2, THE BRONX, NY 10467-8710
(347) 589-5955
Mailing address
2748 HOLLAND AVE, 2, THE BRONX, NY 10467-8710
(347) 589-5955

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
NY

Other

Enumeration date
09/28/2023
Last updated
09/28/2023
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