Individual
ALIN LABAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
54 OMNI PARC DR, NANUET, NY 10954-5948
(845) 405-3757
Mailing address
54 OMNI PARC DR, NANUET, NY 10954-5948
(845) 405-3757
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
315005
NY
Other
Enumeration date
10/28/2013
Last updated
10/28/2013
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