Individual
IVAN JOHN DEMIRCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1500 WATERS PL, BRONX, NY 10461-2723
(929) 348-3225
Mailing address
1500 WATERS PL, BRONX, NY 10461-2723
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
683707-01
NY
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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