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Individual

ANEESAH LAYLA CONRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
506 JEFFERSON AVE, BROOKLYN, NY 11221-1607
(347) 452-7345
Mailing address
506 JEFFERSON AVE, BROOKLYN, NY 11221-1607
(347) 452-7345

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
641226
NY

Other

Enumeration date
07/25/2014
Last updated
07/25/2014
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