Organization
DEPT. OF EDUCATION, NYC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA IRIZ MARIN RN (RN STAFF NURSE)
(718) 933-5027
Entity
Organization
Contact information
Practice address
2050 PROSPECT AVE, RMJ122, BRONX, NY 10457-3604
(718) 933-5027
Mailing address
2875 BAINBRIDGE AVE, APT. SUPT, BRONX, NY 10458-2828
(646) 784-8055
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
440436
NY
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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