Individual provider · NPI-1
Ayah Abdallah
Nurse Anesthetist, Certified Registered · Livingston, NJ
NPI number1700477379
StatusActive
Last updated in NPPESJul 28, 2021
Details
- NPI
- 1700477379
- Entity type
- Individual (NPI-1)
- Name
- Ayah Abdallah
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 27, 2021
- Certification date
- Jul 28, 2021
- Last updated
- Jul 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1700477379 | NJ | Yes |
| 163W00000X | Registered Nurse | 26NR19912900 | NJ |
Practice location
94 Old Short Hills RdLivingston, NJ 07039-5672
Phone 973-322-5000
Mailing address
318 51st St Apt 209West New York, NJ 07093-8905
Phone 971-212-3820
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