Individual
EBONY WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
529 COURTLANDT AVE, BRONX, NY 10451-5007
(347) 432-8594
Mailing address
92 E 58TH ST, BROOKLYN, NY 11203-3714
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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