Individual
MRS. AUDETTE A ALLICOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 E 83RD ST, 2ND FL, BROOKLYN, NY 11236-3435
(917) 588-9025
(718) 467-0246
Mailing address
655 E 83RD ST, 2ND FL, BROOKLYN, NY 11236-3435
(917) 588-9025
(718) 467-0246
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1393552
NY
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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