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Individual

PRISCILLA ANTWI ABUBAKARI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
58 PARK LN, MASSAPEQUA, NY 11758
(201) 443-5924
Mailing address
58 PARK LN, MASSAPEQUA, NY 11758-4305
(201) 443-5924

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
824593
CA
163WG0000X
General Practice Registered Nurse
Primary
667671
NY

Other

Enumeration date
05/23/2014
Last updated
06/11/2018
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