Doctor Name: | MRS. CHINYERE A NEBO |
NPI Number: | 1013354919 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS-FNP, RN |
License Number: | 649810 |
Business Practice Address: | 170 East New York Ave. Valley Stream, NY - 11580 |
Business Phone Number: | 3476005654 |
Business Fax Number: | 5166123871 |
Mailing Address: | 308 E 175th St, BRONX |
State: | NY |
Postal Code: | 104575804 |
Phone Number: | 3476005654 |
Fax Number: | 3476005654 |
NPI Enumeration Date: | 05/31/2013 |
NPI Last Update Date: | 05/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | 649810 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |