Individual
AVISHA LAUREN LABBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10712 123RD ST, SOUTH RICHMOND HILL, NY 11419-2924
(718) 413-0488
Mailing address
10712 123RD ST, SOUTH RICHMOND HILL, NY 11419-2924
(718) 413-0488
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
347054
NY
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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