Individual
MS. MARY ASIEDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2007 LAFONTAINE AVE APT 6H, BRONX, NY 10457-4734
(347) 327-4060
(845) 302-8679
Mailing address
2007 LAFONTAINE AVE APT 6H, BRONX, NY 10457-4734
(347) 327-4060
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
653532-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402724
NY
Other
Enumeration date
03/17/2012
Last updated
12/12/2025
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