National Provider Identifier
Licemee Mbama-Mpolo
Licemee Mbama-Mpolo is listed in the NPPES registry with a primary specialty of Maternal Newborn Registered Nurse in Greece, NY and a listed phone number of (585) 368-4020.
Profile Overview
- NPI
- 1285401687
- Provider Type
- Individual
- Primary Specialty
- Maternal Newborn Registered Nurse
- Enumeration Date
- December 06, 2023
- Last Updated
- December 06, 2023
Practice Location
- 1555 Long Pond RD
- Greece, NY 14626-4164
Phone: (585) 368-4020
Mailing Address
- 57 Flinton Run
- Churchville, NY 14428-9651
Specialties
- Maternal Newborn Registered Nurse (163WM0102X)
Full Record
- NPI
- 1285401687
- Entity Type
- Individual
- Last Name
- Mbama-Mpolo
- First Name
- Licemee
- Mailing Street Address
- 57 Flinton Run
- Mailing City
- Churchville
- Mailing State
- NY
- Mailing ZIP Code
- 14428-9651
- Mailing Country
- US
- Mailing Phone
- (585) 770-0683
- Practice Street Address
- 1555 Long Pond RD
- Practice City
- Greece
- Practice State
- NY
- Practice ZIP Code
- 14626-4164
- Practice Country
- US
- Practice Phone
- (585) 368-4020
- Enumeration Date
- December 06, 2023
- Last Updated
- December 06, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 06, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Maternal Newborn Registered Nurse (163WM0102X)