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Individual

INTISAR FAQUIERY ABDULLAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
195 BAY 19TH ST, #201, BROOKLYN, NY 11214-4761
(718) 338-4716
Mailing address
195 BAY 19TH ST, #201, BROOKLYN, NY 11214-4761
(718) 338-4716

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
07/19/2013
Last updated
07/19/2013
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