Individual
DAISY GRUESO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203-2054
(718) 245-4577
Mailing address
2094 PITKIN AVE, BROOKLYN, NY 11207-3509
(718) 240-0400
(718) 240-0437
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
207470-1
NY
Other
Enumeration date
06/18/2006
Last updated
04/07/2015
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