Individual
MS. AVITAL WELLERSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1505 ROYCE ST, 1C, BROOKLYN, NY 11234
(917) 498-1024
Mailing address
1505 ROYCE ST, 1C, BROOKLYN, NY 11234-5941
(917) 498-1024
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
645127
NY
163W00000X
Registered Nurse
RN631397
PA
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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