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Individual

BEBI Z HARUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
23214 MERRICK BLVD, LAURELTON, NY 11413-2115
(717) 528-3432
Mailing address
15511 110TH AVE, JAMAICA, NY 11433-3138
(347) 977-2675

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
299261-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
299261-1
NYS NURSING LICENSE
NY
Enumeration date
10/18/2016
Last updated
10/18/2016
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