Individual
BIANCA SALLY TERLONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
(718) 240-5727
Mailing address
11419 205TH ST PH, SAINT ALBANS, NY 11412-2909
(929) 494-5783
Taxonomy
Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
Primary
—
NY
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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