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NPI 1619627262 · on the registry since 2022 · sole proprietor

Practice

Address
9413 Avenue A
Brooklyn, NY 11236
Phone
(929) 405-4595

Registry record

Primary taxonomy
Registered Nurse
163W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-03-26

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