Individual
BARBARA AZCONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
11 ELM ST, CENTRAL ISLIP, NY 11722-4111
(631) 334-5504
Mailing address
11 ELM ST, CENTRAL ISLIP, NY 11722-4111
(631) 334-5504
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
6589751
NY
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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