Individual
MISS JERCIENNE LAURENCIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
650 FULTON ST, BROOKLYN, NY 11217-1517
(718) 596-9800
Mailing address
650 FULTON ST, BROOKLYN, NY 11217-1517
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306028
NY
Other
Enumeration date
08/14/2013
Last updated
03/09/2017
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