Individual
MS. CLARISSA DAVIS-IGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3147 EDSON AVE, BRONX, NY 10469-3126
(718) 324-5935
Mailing address
3147 EDSON AVE, BRONX, NY 10469-3126
(718) 324-5935
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
543643
NY
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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