Individual
ROSE SUZETTE BRISTOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
339 HICKS ST, 3RD FLOOR FULLER, BROOKLYN, NY 11201-5509
(718) 780-1000
(718) 780-4911
Mailing address
339 HICKS ST, 3RD FLOOR FULLER, BROOKLYN, NY 11201-5509
(718) 780-1000
(718) 780-4911
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
003327-1
NY
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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