Individual
ANJALY SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13743 45TH AVE, FLUSHING, NY 11355-4048
(929) 362-3006
Mailing address
125 WALKER ST FL 2, NEW YORK, NY 10013-4135
(212) 226-8866
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
726827
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
726827
NY LICENSE (RN)
NY
Enumeration date
05/28/2021
Last updated
05/28/2021
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