Individual
MIREILLE GENEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
811 CORTELYOU RD APT 5D, BROOKLYN, NY 11218-6301
(347) 668-4558
Mailing address
811 CORTELYOU RD APT 5D, BROOKLYN, NY 11218-6301
(347) 668-4558
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
506863
NY
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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