Individual
ANNA ENILINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
58 PIERPONT PL, STATEN ISLAND, NY 10314-5955
(646) 667-9813
Mailing address
58 PIERPONT PL, STATEN ISLAND, NY 10314-5955
(646) 667-9813
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
821545
NY
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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