Individual
DINA DICENSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 MONTROSE AVE, BROOKLYN, NY 11206-2351
(718) 417-1117
(718) 417-1119
Mailing address
540 47TH ST, BROOKLYN, NY 11220-1311
(917) 679-9742
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
342265
NY
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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