Individual
AKAZIA DEONARAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 REMSEN ST, BROOKLYN, NY 11201-4333
(718) 306-1300
Mailing address
10435 118TH ST, SOUTH RICHMOND HILL, NY 11419-2705
(646) 267-0844
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
312621
NY
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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