Individual provider · NPI-1

Charles Asieba

Registered Nurse, General Practice · Bronx, NY

NPI number1639840168
StatusActive
Last updated in NPPESSep 23, 2021

Details

NPI
1639840168
Entity type
Individual (NPI-1)
Name
Charles Asieba
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 23, 2021
Certification date
Sep 23, 2021
Last updated
Sep 23, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0000X Registered Nurse, General Practice748705NYYes

Practice location

3475 Fish Ave Apt 4b
Bronx, NY 10469-2285

Phone 347-662-8402

Mailing address

3475 Fish Ave Apt 4b
Bronx, NY 10469-2285

Phone 347-662-8402

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