Individual
LHYMS CEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
989 E 78TH ST, BROOKLYN, NY 11236-3827
(347) 469-2641
Mailing address
989 E 78TH ST, BROOKLYN, NY 11236-3827
(347) 469-2641
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
321697
NY
Other
Enumeration date
04/08/2015
Last updated
04/08/2015
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