Individual
CAROL CHAMPION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1656 E 2ND ST, APT 2, BROOKLYN, NY 11230-6920
(917) 450-5592
Mailing address
1656 E 2ND ST, APT 2, BROOKLYN, NY 11230-6920
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
620481-1
NY
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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