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Tanoe Sam, RN

Registered Nurse in Bronx, NY. Individual provider (NPI-1).

NPI number1013395656
StatusActive
Last updated in NPPESMay 15, 2015

Details

NPI
1013395656
Entity type
Individual (NPI-1)
Name
Mr. Tanoe Sam
Credential
RN
Sex
Male
Sole proprietor
Yes
Enumeration date
May 15, 2015
Last updated
May 15, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse695374-1NYYes

Practice location

4213 Byron Ave
Apt F1
Bronx, NY 10466-3112

Phone 917-741-5920

Mailing address

4213 Byron Ave
Apt F1
Bronx, NY 10466-3112

Phone 917-741-5920

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