Individual
MR. FERDINAND MUBIALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3510
(516) 822-6111
Mailing address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3510
(516) 822-6111
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
NY
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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