Individual
LENATA BRISTOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
264 BEACH 19TH ST, FAR ROCKAWAY, NY 11691-4431
(718) 868-2961
Mailing address
2152 RALPH AVE, UNIT 112, BROOKLYN, NY 11234-5406
(347) 489-1530
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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