Individual
FARIDA BENNOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1968 BERGEN AVE, 3K, BROOKLYN, NY 11234-5830
(718) 219-6328
Mailing address
1968 BERGEN AVE, 3K, BROOKLYN, NY 11234-5830
(718) 219-6328
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
527000
NY
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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