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Individual

MARIAMMA C ABRAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N

Contact information

Practice address
2324 FOREST AVE, STATEN ISLAND, NY 10303-1506
(718) 447-0200
Mailing address
372 HAROLD ST, STATEN ISLAND, NY 10314-4147
(718) 698-7749

Taxonomy

Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
292641-1
NY

Other

Enumeration date
02/04/2009
Last updated
02/04/2009
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