Individual
MRS. SUMRA ABBASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6 S GEORGIA ST, VALLEY STREAM, NY 11580-2309
(917) 620-9034
Mailing address
6 S GEORGIA ST, VALLEY STREAM, NY 11580-2309
(917) 620-9034
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F309352-01
NY
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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