Individual
AVIVA FRUCHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
495 E 4TH ST, BROOKLYN, NY 11218-4507
(718) 633-0607
Mailing address
495 E 4TH ST, BROOKLYN, NY 11218-4507
(718) 633-0607
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
671038
NY
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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