Augusta Ike, | |
125 Prospect Ave, Middletown, NY 10940-3951 | |
(917) 635-0591 | |
Not Available |
Full Name | Augusta Ike |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 125 Prospect Ave, Middletown, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134508153 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 321501-1 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Augusta Ike, 125 Prospect Ave, Middletown, NY 10940-3951 Ph: (917) 635-0591 | Augusta Ike, 125 Prospect Ave, Middletown, NY 10940-3951 Ph: (917) 635-0591 |
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