Individual
DONOVEEN TULLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
174 E 51ST ST, BROOKLYN, NY 11203-2302
(718) 671-2100
Mailing address
1319 REMSEN AVE, BROOKLYN, NY 11236-4266
(718) 671-2100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
351379
NY
Other
Enumeration date
04/21/2010
Last updated
02/22/2023
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