Individual
AFIYA VENUS HARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 NEVINS ST, BROOKLYN, NY 11217-1004
(718) 855-4035
Mailing address
815 HENDRIX ST, BROOKLYN, NY 11207-7402
(347) 210-8494
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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