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Individual

HAJRIE ILJAZI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
24 SHERIDAN AVE, STATEN ISLAND, NY 10304-4514
(718) 536-9339
Mailing address
24 SHERIDAN AVE, STATEN ISLAND, NY 10304-4514
(718) 536-9339

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
580035-01
NY
163WG0000X
General Practice Registered Nurse
Primary
580035-01
NY

Other

Enumeration date
10/07/2021
Last updated
10/07/2021
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