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Dwayne Bather
NPI 1407177751 · on the registry since 2010 · sole proprietor
Practice
- Address
- 4318 Matilda Ave
Bronx, NY 10466 - Phone
- (718) 496-0254
Registry record
- Primary taxonomy
- Registered Nurse
163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-06-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York