Individual
CECILIA AJANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1701
(718) 876-1732
(718) 442-0189
Mailing address
439 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1714
(718) 876-1732
(718) 442-0189
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F339337-1
NY
Other
Enumeration date
07/26/2016
Last updated
12/04/2024
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