Individual
NARA ILYAS PINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
65-02 167STREET, P/H, FRESH MEADOWS, NY 11365
(347) 845-1665
Mailing address
6502 167TH ST, FRESH MEADOWS, NY 11365-1938
(347) 845-1665
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
625880
NY
163WS0200X
School Registered Nurse
Primary
625880
NY
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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