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Organization
ROSE R CAPUZ
Active
Organization
ROSE R CAPUZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE R CAPUZ LPN (LPN)
(917) 743-0542
Entity
Organization
Contact information
Practice address
122 ST NICHOLAS AVENUE, SUITE 2, BROOKLYN, NY 11237
(917) 743-0542
(347) 689-8136
Mailing address
122 ST NICHOLAS AVENUE, SUITE 2, BROOKLYN, NY 11237
(917) 743-0542
(347) 689-8136
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
276507-1
NY
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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