Individual
DESIREE JOY AMBROSIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 6TH STREET, BROOKLYN, NY 11215
(646) 643-7301
Mailing address
45 BURNSIDE AVE, STATEN ISLAND, NY 10302-2302
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F345612-01
NY
Other
Enumeration date
06/03/2020
Last updated
06/30/2021
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