Walter Ballah Gizzie Ii, | |
26 Dumont Ave, Staten Island, NY 10305-1450 | |
(171) 866-7851 | |
Not Available |
Full Name | Walter Ballah Gizzie Ii |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 26 Dumont Ave, Staten Island, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518465004 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 315437-1 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Walter Ballah Gizzie Ii, 26 Dumont Ave, Staten Island, NY 10305-1450 Ph: () - | Walter Ballah Gizzie Ii, 26 Dumont Ave, Staten Island, NY 10305-1450 Ph: (171) 866-7851 |
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