Individual
CAROLLE LETANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1165 E 73RD STREET, BROOKLYN, NY 11234
(718) 209-7039
Mailing address
1165 E 73RD ST, BROOKLYN, NY 11234-5409
(718) 209-7039
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F336544
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
F336544
NY
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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