Individual
KRIZIA RAE SABAS KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-5200
Mailing address
3 SCHANCK DR, EDISON, NJ 08820-2417
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F308660-1
NY
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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