Organization
KOUDEDJA DEMBELE
Active
Parent organization
YES
Other names
Sapphire center for rehabilitation
Organization subpart
Yes
Provider details
NPI number
Legal business name
YES
Authorized official
MS. KOUDEDJA DEMBELE FNP (FNP)
(914) 500-5929
Entity
Organization
Contact information
Practice address
16 LOCUST AVE, NEW ROCHELLE, NY 10801-7331
(914) 500-5929
Mailing address
16 LOCUST AVE # IH, NEW ROCHELLE, NY 10801-7331
(914) 500-5929
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
F338512-1
NY
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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