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HENRIKA CONSUELA LACORBINIERE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
259 BRISTOL STREET, SUITE #241, BROOKLYN, NY 11212
(718) 495-7273
(718) 495-8294
Mailing address
915 GREENLAWN AVE., ISLIP TERRACE, NY 11752
(646) 823-5198

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
115619
NY
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
E2265
TX

Other

Enumeration date
10/19/2011
Last updated
10/19/2011
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