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NPI Code Detail

MEDICARE: MRS. MILALUZ TUBA AFUANG RN

MEDICARE:  MRS. MILALUZ TUBA AFUANG  RN
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
1163WP0808XPsychiatric/Mental Health Registered Nurse404971-1NY

General Provider Information

NPI Number : 1578102380
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MILALUZ TUBA AFUANG RN
Provider Business Mailing Address
First Line : KIRBY FORENSIC PSCHIATRIC CENTER
Second Line : 600 E 125TH STREET
City : NEW YORK
State : NY
Zip : 10035-6095
Country : US
Telephone Number : 646-672-6805
Fax Number : 646-672-6898
Provider Business Practice Location Address
First Line : KIRBY FORENSIC PSCHIATRIC CENTER
Second Line : 600 E 125TH STREET
City : NEW YORK
State : NY
Zip : 10035-6095
Country : US
Telephone Number : 646-672-6805
Fax Number : 646-672-6898
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2019
Last Update Date : 12/26/2019

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