Individual
MRS. BERNADETTE POLITE DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1522 E 59TH ST, BROOKLYN, NY 11234-4106
(718) 531-5343
(718) 531-5343
Mailing address
1522 E 59TH ST, BROOKLYN, NY 11234-4106
(718) 531-5343
(718) 531-5343
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
352520911
NY
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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