Individual
MS. SAFIYYAH AMINAH ABDUL-QAWIYY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,BSN,LP
Contact information
Practice address
140 CEBRA AVE, STATEN ISLAND, NY 10304-2224
(347) 628-3467
Mailing address
140 CEBRA AVENUE, STATEN ISLAND, NY 10304
(347) 628-3467
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
505910
NY
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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