Aniema Abasiurua

Individual provider Active NPI Licensed Practical Nurse · Bronx, NY

NPI 1366696015 · NPPES record last updated Nov 7, 2008

Key facts

NPI
1366696015
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
255496 (NY)
Practice address
760 E 217TH St
Bronx, NY 10467-5802
Phone
(718) 671-2100
NPI assigned
Nov 7, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
255496NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 255496 NY Yes

Addresses

Primary practice location

760 E 217TH St
Bronx, NY 10467-5802

Mailing address

760 E 217TH St
Bronx, NY 10467-5802
Phone (718) 671-2100

Other providers in Bronx, NY

All providers in Bronx, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.