Individual
FAIZA MUBARAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
535 W 110TH ST APT 1E, NEW YORK, NY 10025-2021
(212) 280-4740
Mailing address
9209 RAVENSCROFT RD, CLIFTON, NJ 07013-7617
(845) 520-1947
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F352270-01
NY
Other
Enumeration date
01/08/2024
Last updated
05/09/2024
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