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Individual

MARIANNA B USTIAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1010 HAZEN ST, EAST ELMHURST, NY 11370-1355
(347) 774-8976
Mailing address
1010 HAZEN ST, EAST ELMHURST, NY 11370-1355

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
688017-01
NY

Other

Enumeration date
04/19/2021
Last updated
04/19/2021
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