Individual
BRUTNEY PAMPHILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
840 14TH ST, WEST BABYLON, NY 11704-3133
(516) 325-6090
Mailing address
840 14TH ST, WEST BABYLON, NY 11704-3133
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
340111-01
NY
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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