Individual
RITA HAROUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
584 LAMOKA AVE, STATEN ISLAND, NY 10312-3437
(718) 406-6774
Mailing address
584 LAMOKA AVE, STATEN ISLAND, NY 10312-3437
(718) 406-6774
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
564487-1
NY
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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