Individual
ANNA M CIURLEO-WALZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7530 61ST ST, GLENDALE, NY 11385-6124
(917) 951-5562
Mailing address
75-30 61ST STREET, GLENDALE, NY 11385
(917) 951-5562
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/18/2013
Last updated
07/11/2013
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