NEAZUL MOWLA PRANTIC

SMITHTOWN, NY
NPI1023599826
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  756149-1)
Enumeration Date2018-08-28
Last Update Date2018-08-28
Business Address
NEAZUL MOWLA PRANTIC RN
17 BANK AVE
SMITHTOWN, NY 11787-2703
Phone number: 631-265-5300
Mailing Address
NEAZUL MOWLA PRANTIC RN
17128 103RD RD
JAMAICA, NY 11433-1708
Phone number: 646-705-1121
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