Omodelle Fitzherbert Crum-ewing RN BSN

NPI 1063696532 - Registered Nurse - 163WC0200X

NPI Details
NPI 1063696532
Gender Male
Enumeration Date 12/19/2007
Last Updated 12/19/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
4165 HILL AVE
BRONX NY, 10466-2105, US
Phone (646) 938-8603
Fax (718) 547-4147
Business Location
4165 HILL AVE
BRONX NY, 10466-2105, US
Phone (646) 938-8603
Fax (718) 547-4147
Toxanomy
Taxonomy Code 163WC0200X
License State New York
License Number 535857
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According to our database, Mr. Omodelle Fitzherbert Crum-ewing RN BSN NPI is 1063696532, taxonomy code is 163WC0200X and license number is 535857, license state is located at New York. Omodelle Fitzherbert Crum-ewing RN BSN physically located at 4165 Hill Ave, Bronx NY, 10466-2105. NPI Number Omodelle Fitzherbert Crum-ewing RN BSN has the Individual type.

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1063696532 NPI number is provided on an as is basis without warranty of any kind. 1063696532 is maintained by the National Plan & Provider Enumeration System. The contents of Omodelle Fitzherbert Crum-ewing RN BSN are for informational purposes only.