Organization
ANNADALE NP IN FAMILY HEALTH P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENA HOVHANNISYAN FNP (FNP)
(646) 406-9286
Entity
Organization
Contact information
Practice address
3974 AMBOY RD STE 302, STATEN ISLAND, NY 10308-2414
(718) 967-1071
Mailing address
3974 AMBOY RD STE 302, STATEN ISLAND, NY 10308-2414
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/16/2025
Last updated
11/06/2025
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