Individual
AIRES ABIERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4508 82ND ST, ELMHURST, NY 11373-3558
(732) 791-3293
Mailing address
4508 82ND ST, ELMHURST, NY 11373-3558
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
723604
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
723604
—
NY
Enumeration date
12/04/2019
Last updated
12/04/2019
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