Individual
BERCELENER THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
50 SHEFFIELD AVE, BROOKLYN, NY 11207-2420
(718) 345-2273
Mailing address
50 SHEFFIELD AVE, BROOKLYN, NY 11207-2420
(718) 345-2273
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
316701
NY
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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