Individual
CAROL JEAN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
2581 ATLANTIC AVE, BROOKLYN, NY 11207-2412
(646) 385-0953
(646) 829-1081
Mailing address
2581 ATLANTIC AVE STE 228, BROOKLYN, NY 11207-2412
(646) 385-0953
(646) 829-1081
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
835374
NY
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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