Individual
AZIZA FARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 BEACH 56TH PL, ARVERNE, NY 11692-1937
(347) 589-7791
Mailing address
PO BOX 920245, ARVERNE, NY 11692-0245
(347) 589-7791
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
330926
NY
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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