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Damien Engram

Community Health Worker in Bronx, NY. Individual provider (NPI-1).

NPI number1164088571
StatusActive
Last updated in NPPESMay 13, 2019

Details

NPI
1164088571
Entity type
Individual (NPI-1)
Name
Damien Engram
Sex
Male
Sole proprietor
No
Enumeration date
May 13, 2019
Last updated
May 13, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

1775 Grand Concourse
Bronx, NY 10453-8202

Phone 914-591-7300

Mailing address

100 N Broadway
Irvington, NY 10533-1254

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