IndividualActive
Charles Asieba
NPI 1639840168 · General Practice Registered Nurse · Bronx, NY
Provider details
- NPI number
- 1639840168
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 748705 (NY)
Specialties & taxonomies
Nursing Service Providers
Practice location
3475 Fish Ave Apt 4b
Bronx, NY 10469-2285
Phone: (347) 662-8402
Approximate (ZIP-level) locationGet directions
Mailing address
3475 Fish Ave Apt 4b
Bronx, NY 10469-2285
Registry dates
- Enumerated
- 2021-09-23
- Last updated
- 2021-09-23
- Certified
- 2021-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.