Individual
AGNES AMELIA NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
196 STATE ST, BROOKLYN, NY 11201-5662
(718) 855-7366
Mailing address
196 STATE ST, BROOKLYN, NY 11201-5662
(718) 855-7366
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06076700
NJ
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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