Individual
CARLINE PROPHETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
669 E 81ST ST, BROOKLYN, NY 11236-3303
(718) 676-5961
Mailing address
669 E 81ST ST, BROOKLYN, NY 11236-3303
(718) 676-5961
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
260312
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260312
LPN LICENSE
NY
Enumeration date
03/03/2010
Last updated
03/03/2010
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