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Individual

MRS. FALAKNAZ I MODAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN, RN, FNP-BC

Contact information

Practice address
1371 SEABURY AVE, BRONX, NY 10461-3651
(718) 294-6200
Mailing address
4 COLTS RUN RD, PRINCETON, NJ 08540-8594
(732) 595-6940

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR16916300
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ15073200
NJ

Other

Enumeration date
05/24/2024
Last updated
05/24/2024
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