Individual
DEBORAH AANONSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
11 RALPH PL, SUITE 314, STATEN ISLAND, NY 10304-4419
(718) 815-3033
Mailing address
11 RALPH PL, SUITE 314, STATEN ISLAND, NY 10304-4419
(718) 815-3033
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
190729
NY
Other
Enumeration date
09/08/2005
Last updated
06/05/2008
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