Individual
LYDIA AMPAH-DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
794 JOHN ST, TEANECK, NJ 07666-5331
(917) 519-7650
(201) 357-5205
Mailing address
794 JOHN ST, TEANECK, NJ 07666-5331
(917) 519-7650
(201) 357-5205
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR12855700
NJ
163W00000X
Registered Nurse
574953
NY
3140N1450X
Pediatric Skilled Nursing Facility
26NR12855700
NJ
374U00000X
Home Health Aide
26NR122855700
NJ
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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