Individual
ARISTINA RUTH DIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
773-775 9TH AVENUE, NEW YORK, NY 10019
(212) 586-1550
Mailing address
9044 220TH ST, QUEENS VILLAGE, NY 11428-1345
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
294057
NY
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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