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Individual

IVAN BIGLANG AWA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
325 W 15TH ST, NEW YORK, NY 10011-5903
(212) 367-0149
(212) 604-6038
Mailing address
325 W 15TH ST # J55, NEW YORK, NY 10011-5903
(212) 367-0149
(212) 604-6038

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
725481
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
F432410
NY

Other

Enumeration date
04/21/2022
Last updated
05/29/2023
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