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Individual

CARLTON ANTHONY BROOKS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
400 FOREST AVE, BUFFALO, NY 14213-1207
(716) 249-7109
Mailing address
400 FOREST AVE, BUFFALO, NY 14213-1207
(716) 249-7109

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
964214-01
NY

Other

Enumeration date
11/23/2024
Last updated
11/23/2024
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