SearchNew York2355S0801X

Coralace Campbell

NPI 1992225908 · on the registry since 2017 · sole proprietor

Practice

Address
1216 Dean St
Brooklyn, NY 11216
Phone
(718) 602-3838
Fax
(708) 602-3834

Registry record

Primary taxonomy
2355S0801X
2355S0801X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

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