Individual
ANNIE DEPAOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1295 BROADWAY, BROOKLYN, NY 11221-2973
(718) 682-3903
Mailing address
1295 BROADWAY, BROOKLYN, NY 11221-2973
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F355415
NY
Other
Enumeration date
11/28/2024
Last updated
11/28/2024
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