Individual
VICTOR HANYURINEZA NGILIYEZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 WASHINGTON ST, ELMIRA, NY 14901-2849
(607) 737-4823
Mailing address
100 WASHINGTON ST, ELMIRA, NY 14901-2849
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
840673
NY
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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