Individual
GUERTINA DERISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 ROCKAWAY PKWY, BROOKLYN, NY 11236-2339
(718) 272-3300
Mailing address
631 E 78TH ST, BROOKLYN, NY 11236-3307
(347) 654-4065
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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