Individual
MUSTAFA ANSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1108 ANNA MARIA DR, JOHNSON CITY, NY 13790-5007
(607) 232-0525
Mailing address
1108 ANNA MARIA DR, JOHNSON CITY, NY 13790-5007
(607) 232-0525
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
752568
NY
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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