George Riis Acolatse
Licensed Practical Nurse in Bronx, NY. Individual provider (NPI-1).
NPI number1669970679
StatusActive
Last updated in NPPESJan 24, 2018
Details
- NPI
- 1669970679
- Entity type
- Individual (NPI-1)
- Name
- George Riis Acolatse
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 24, 2018
- Last updated
- Jan 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 309044-1 | NY | Yes |
Practice location
814 E 233rd St Fl 2Bronx, NY 10466-3204
Phone 347-302-0590
Mailing address
814 E 233rd St Fl 2Bronx, NY 10466-3204
Phone 347-302-0590
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