KOGIE JOHNSON INGERSOLL

BRONX, NY
NPI1609364579
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1744P3200X Specialist, Prosthetics Case Management
(Licence: NY  AEC-16-04979)
Enumeration Date2018-04-26
Last Update Date2018-04-26
Business Address
Mrs. KOGIE JOHNSON INGERSOLL
1005 BURKE AVE FL 2
BRONX, NY 10469-3803
Phone number: 914-733-8011
Mailing Address
Mrs. KOGIE JOHNSON INGERSOLL
1005 BURKE AVE FL 2
BRONX, NY 10469-3803
Phone number: 914-733-8011
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