Individual
EBONY PRINCESS THYME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2015 GRAND CONCOURSE, BRONX, NY 10453
(718) 299-7295
Mailing address
3198 GRAND CONCOURSE, BRONX, NY 10458-1000
(718) 618-0401
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
344076
NY
Other
Enumeration date
02/11/2019
Last updated
10/19/2022
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