Individual
ENGI ENANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 02 95TH AVENUE, 2ND FLOOR, OZONE PARK, NY 11416
(917) 561-3829
Mailing address
105 02 95TH AVENUE, OZONE PARK, NY 11416
(917) 561-3829
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/21/2016
Last updated
03/21/2016
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