Individual
AWN ABBAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5772 XENIA ST, CORONA, NY 11368-3928
(917) 238-2259
Mailing address
5772 XENIA ST, CORONA, NY 11368-3928
(917) 238-2259
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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