NPI 1396417820
Ahjalee Xenobia Richard716
Practice location
- Address
- 26 Dumont Ave, Staten Island, NY 10305-1450
- Phone
- (718) 667-8511
- Mailing address
- 345 Thatford Ave APT 5r, Brooklyn, NY 11212-5969
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1396417820
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Oct 2021
- Record last updated
- 4 Oct 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.