SearchNew York164W00000X

Audrey Souvenir

NPI 1184277931 · on the registry since 2019

Practice

Address
502 Cleveland St
Brooklyn, NY 11208
Phone
(347) 248-2189

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-07-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York