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1629202478
AGING WELL RN NP FAMILY HEALTHPLLC
STATEN ISLAND, NY
NPI
1629202478
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Entity Type
Organization
Authorized Contact
AZZA A EZZAT
President
717-716-7107
Organization Subpart ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date
2009-05-07
Last Update Date
2023-07-14
Business Address
AGING WELL RN NP FAMILY HEALTHPLLC
774 MANOR RD
STATEN ISLAND, NY 10314-7038
Phone number: 718-496-2542
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Mailing Address
AGING WELL RN NP FAMILY HEALTHPLLC
796 RATHBUN AVE
STATEN ISLAND, NY 10309-2409
Phone number: 717-716-7107
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