Individual
ZANNATHOL MOSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
630 FLUSHING AVE, BROOKLYN, NY 11206-5026
(718) 828-2666
Mailing address
17244 HENLEY RD, JAMAICA, NY 11432-2743
(646) 346-9456
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
739762
NY
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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