Individual provider · NPI-1

Bertha Serwaa Antobre

Home Health Aide · Brooklyn, NY

NPI number1245853464
StatusActive
Last updated in NPPESMay 21, 2020

Details

NPI
1245853464
Entity type
Individual (NPI-1)
Name
Bertha Serwaa Antobre
Sex
Female
Sole proprietor
Yes
Enumeration date
May 21, 2020
Certification date
May 21, 2020
Last updated
May 21, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

2407 Tilden Ave Apt B
Brooklyn, NY 11226-8163

Phone 347-933-7456

Mailing address

2407 Tilden Ave
Brooklyn, NY 11226-8163

Phone 347-933-7456

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