SearchNew York164W00000X

Johan Nesbitt

NPI 1295992378 · on the registry since 2008 · sole proprietor

Practice

Address
630 Stanley Ave
2a
Brooklyn, NY 11207
Phone
(347) 251-4607

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
2008-05-17

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