Individual
AMARALYS PABLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1555 WESTCHESTER AVE, BRONX, NY 10472-2910
(718) 765-6367
Mailing address
120 HICKSVILLE RD, BETHPAGE, NY 11714-3443
(516) 717-1839
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
347354
NY
Other
Enumeration date
06/03/2021
Last updated
01/06/2023
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