Individual
AISLIN AZCONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13524 96TH ST, OZONE PARK, NY 11417-2820
(347) 784-7984
Mailing address
13524 96TH ST, OZONE PARK, NY 11417-2820
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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