Individual
MS. CYNTHIA LABELLE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 LIVINGSTON ST STE 101, BROOKLYN, NY 11201-5078
(718) 625-4055
(718) 625-4702
Mailing address
268 ELDERT ST, BROOKLYN, NY 11207-1304
(917) 753-3832
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
583705051
NY
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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