Individual
ANNE MAUDELINE DESTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 AVENUE U, BROOKLYN, NY 11223-5019
(718) 717-8337
Mailing address
1115 AVENUE U, BROOKLYN, NY 11223-5019
(718) 717-8337
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
339848
NY
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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