Individual
DARLINE SURPRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
655 EAST 94 STREET, #2F, BROOKLYN, NY 11236-2104
(347) 579-5834
Mailing address
655 E 94TH ST, #2F, BROOKLYN, NY 11236-1105
(347) 579-5834
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
627839
NY
Other
Enumeration date
10/25/2010
Last updated
03/26/2014
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