FRED ATA

Registered Nurse

NPI: 1114844537Individual

Specialties, Licenses & Credentials

Registered NursePrimary

Registered Nurse

Code: 163W00000X

914589(NY)

Contact & Hours

Address: 462 1ST AVE
NEW YORK, NY 10016
Phone: (212) 562-4141

Quick Facts

NPI: 1114844537
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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