Individual
MRS. AZZA A EZZAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
796 RATHBUN AVE, STATEN ISLAND, NY 10309-2409
(717) 716-7107
(717) 716-7107
Mailing address
796 RATHBUN AVE, STATEN ISLAND, NY 10309-2409
(717) 716-7107
(718) 494-6572
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F334288
NY
Other
Enumeration date
06/10/2006
Last updated
07/19/2023
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