Individual
MAB UBANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22212 146TH AVE, SPRINGFIELD GARDENS, NY 11413-3807
(718) 930-1128
Mailing address
22212 146TH AVE, SPRINGFIELD GARDENS, NY 11413-3807
(718) 930-1128
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
581058
NY
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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