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NPI 1740539154 · on the registry since 2012 · sole proprietor
Practice
- Address
- 263 Eastern Pkwy Apt 6f
Brooklyn, NY 11238 - Phone
- (917) 439-6563
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-08-30
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