Individual
TEMITOPE MARY AZEEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26 DUMONT AVE, STATEN ISLAND, NY 10305-1450
(718) 667-8510
Mailing address
26 DUMONT AVE, STATEN ISLAND, NY 10305-1450
(718) 667-8510
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
332525-1
NY
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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