WALTER BALLAH GIZZIE

STATEN ISLAND, NY
NPI1518465004
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  315437-1)
Enumeration Date2018-01-30
Last Update Date2018-01-30
Business Address
WALTER BALLAH GIZZIE
26 DUMONT AVE
STATEN ISLAND, NY 10305-1450
Phone number: 171-866-7851
Mailing Address
WALTER BALLAH GIZZIE
26 DUMONT AVE
STATEN ISLAND, NY 10305-1450
Phone number:
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