Individual
AFREEN RASSIWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4545 CENTER BLVD APT 3313, LONG ISLAND CITY, NY 11109-5970
(646) 255-6942
Mailing address
4545 CENTER BLVD APT 3313, LONG ISLAND CITY, NY 11109-5970
(646) 255-6942
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F383021-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
05/18/2020
Last updated
05/18/2020
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