Individual
AUDREY VIECHWEG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
131 IRWIN ST, BROOKLYN, NY 11235-3019
(718) 616-0281
Mailing address
424 E 23RD ST, BROOKLYN, NY 11226-6959
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
393218
NY
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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