Individual
MS. IKUGUN BRACKBILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8414 13TH AVE, BROOKLYN, NY 11228-3336
(718) 921-2962
Mailing address
8639 16TH AVE, BROOKLYN, NY 11214-3611
(917) 496-2962
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028510
NY
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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