Individual
FABIOLA OBANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
521 W 57TH ST FL 6, NEW YORK, NY 10019-2929
(212) 485-0765
(212) 698-0305
Mailing address
521 W 57TH ST FL 6, NEW YORK, NY 10019-2929
(212) 485-0765
(212) 698-0305
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
002065
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002065
NEW YORK MEDICAL LICENSE
NY
Enumeration date
06/03/2009
Last updated
06/03/2009
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