Individual
CELESTE JULIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1146 DECATUR ST, BROOKLYN, NY 11207-1128
(615) 573-4236
Mailing address
1146 DECATUR ST, BROOKLYN, NY 11207-1128
(615) 573-4236
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
327759
NY
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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