Individual
MICHELLE BRUMMERLOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 VALIANT CT, MOUNT SINAI, NY 11766-2915
(631) 346-8175
Mailing address
8 VALIANT CT, MOUNT SINAI, NY 11766-2915
(631) 346-8175
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
622296
NY
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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