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Organization
FAB LLC
Active
Organization
FAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FAITH A BERNAL RN (PRESIDENT & CEO)
(917) 865-3482
Entity
Organization
Contact information
Practice address
4024 HUBBARD PL, BROOKLYN, NY 11210-4953
(917) 865-3482
(718) 252-2596
Mailing address
4024 HUBBARD PL, BROOKLYN, NY 11210-4953
(917) 865-3482
(718) 252-2596
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1942590302
NY
363LP2300X
Primary Care Nurse Practitioner
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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