Individual
MS. ADELINE PAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS EDU
Contact information
Practice address
466 WILSON AVE, BROOKLYN, NY 11221-5278
(347) 664-9176
Mailing address
466 WILSON AVENUE, BROOKLYN, NY 11221
(347) 664-9176
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
827718
NY
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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