Individual
MS. ANGELINE CHIARA MASULIT DIZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3912 55TH ST, WOODSIDE, NY 11377-3344
(917) 288-6519
Mailing address
3912 55TH ST, WOODSIDE, NY 11377-3344
(917) 288-6519
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
7796938
NY
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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