MEDICARE: AME AHOSSEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	321498	NY

General Provider Information

NPI Number	:	1346635836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AME AHOSSEY

Provider Business Mailing Address
First Line	:	1414 PARKER ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10462-4926
Country	:	US
Telephone Number	:	347-698-4481
Fax Number	:

Provider Business Practice Location Address
First Line	:	1414 PARKER ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10462-4926
Country	:	US
Telephone Number	:	347-698-4481
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2015
Last Update Date	:	04/01/2015

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Directions to “ AME AHOSSEY ” Practice Location

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