Individual
FAZISHA ALI-SILOCHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 AUDUBON AVE, NEW YORK, NY 10040-3403
(347) 665-3174
Mailing address
515 AUDUBON AVE, NEW YORK, NY 10040-3403
(347) 665-3174
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
642360
NY
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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