Individual
CHARLENE SURIE SOROKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1455 E 14TH ST, BROOKLYN, NY 11230-6609
(718) 336-3459
Mailing address
1455 E 14TH ST, BROOKLYN, NY 11230-6609
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1775107
NY
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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