Individual
AMIN ALI DELEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
79-25 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427
(718) 264-7500
Mailing address
79-25 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427
(718) 264-7500
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
267382-1
NY
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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