Augusta Ike
NPI #1134508153 in Middletown, New York
Provider Information
- NPI Number
- 1134508153
- Entity Type
- Individual
- Name
- Augusta Ike
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 22, 2015
- Last Updated
- May 22, 2015
Practice Location
- Address
- 125 PROSPECT AVE
- City
- Middletown
- State
- New York
- ZIP Code
- 10940-3951
- Phone
- (917) 635-0591
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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