EDWIN IDEMUDIA

BRONX, NY
NPI1184132110
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  284010)
Enumeration Date2018-01-11
Last Update Date2018-01-11
Business Address
EDWIN IDEMUDIA
801 E 241ST ST
BRONX, NY 10470-1303
Phone number: 718-671-2100
Mailing Address
EDWIN IDEMUDIA
1035 CLARKSON AVE APT 5C
BROOKLYN, NY 11212-1412
Phone number: 917-288-0129
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