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Individual

JULIANA RASLAN AZIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
464 BAY RIDGE AVE, BROOKLYN, NY 11220-5906
(718) 680-6006
Mailing address
20 MERCER PL, STATEN ISLAND, NY 10308-3431
(917) 348-3943

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
311363
NY

Other

Enumeration date
08/14/2023
Last updated
08/15/2023
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