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1720029572
AZZA A EZZAT
STATEN ISLAND, NY
NPI
1720029572
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY f334288)
Enumeration Date
2006-06-10
Last Update Date
2023-07-19
Business Address
Mrs. AZZA A EZZAT N.P
796 RATHBUN AVE
STATEN ISLAND, NY 10309-2409
Phone number: 717-716-7107
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Mailing Address
Mrs. AZZA A EZZAT N.P
796 RATHBUN AVE
STATEN ISLAND, NY 10309-2409
Phone number: 717-716-7107
Copy
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