Individual
MRS. BUSIME MIMY MUDEKEREZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1885 ADAM CLAYTON POWELL JR BLVD APT 2C, NEW YORK, NY 10026-2892
(212) 795-0529
Mailing address
1885 ADAM CLAYTON POWELL JR BLVD APT 2C, NEW YORK, NY 10026-2892
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F344790-01
NY
Other
Enumeration date
05/17/2020
Last updated
05/17/2020
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