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NPI Code Detail

MEDICARE: ISATOU GUMANEH I

MEDICARE:   ISATOU  GUMANEH I
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
1163W00000XRegistered Nurse97358601NY

General Provider Information

NPI Number : 1619844784
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISATOU GUMANEH I
Provider Business Mailing Address
First Line : 1747 CLAY AVE APT 7D
Second Line :
City : BRONX
State : NY
Zip : 10457-7224
Country : US
Telephone Number : 877-611-5027
Fax Number :
Provider Business Practice Location Address
First Line : 1747 CLAY AVE APT 7D
Second Line :
City : BRONX
State : NY
Zip : 10457-7224
Country : US
Telephone Number : 877-611-5027
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2025
Last Update Date : 10/22/2025

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Directions to “ ISATOU GUMANEH I ” Practice Location

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