Individual
ARMANTE BOUAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 ESSEX ST, WEST BABYLON, NY 11704-2109
(631) 612-1135
Mailing address
320 ESSEX ST, WEST BABYLON, NY 11704-2109
(631) 612-1135
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
321510
NY
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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