Individual
MARYAM ABUBAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
366 BROADWAY, AMITYVILLE, NY 11701-1170
(631) 789-7421
Mailing address
81 LOUDEN AVE, AMITYVILLE, NY 11701-2736
(631) 789-7000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307879-1
NY
Other
Enumeration date
08/20/2016
Last updated
04/14/2021
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