Individual
MS. AUDREY TELFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
219 SACKMAN ST, APT 3G, BROOKLYN, NY 11212-8041
(347) 415-1903
Mailing address
219 SACKMAN ST, APT 3G, BROOKLYN, NY 11212-8041
(347) 415-1903
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
312668
NY
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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