Individual
BOINANCY AMINATA GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 DUMONT AVE, STATEN ISLAND, NY 10305-1450
(718) 667-8510
Mailing address
20 APPLEMAN RD, SOMERSET, NJ 08873-1735
(732) 621-3433
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
770092
NY
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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