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1962968396
EBONY PRINCESS THYME
BRONX, NY
NPI
1962968396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 344076)
Enumeration Date
2019-02-11
Last Update Date
2022-10-19
Business Address
EBONY PRINCESS THYME FNP
2015 GRAND CONCOURSE
BRONX, NY 10453
Phone number: 718-299-7295
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Mailing Address
EBONY PRINCESS THYME FNP
3198 GRAND CONCOURSE
BRONX, NY 10458-1000
Phone number: 718-618-0401
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