Individual
JASSODRA MAHARAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 ARLINGTON AVE, BROOKLYN, NY 11208
(917) 858-0017
Mailing address
320 ARLINGTON AVE, BROOKLYN, NY 11208-1104
(917) 858-0017
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
749836
NY
Other
Enumeration date
12/18/2014
Last updated
06/19/2018
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