Organization
BROOKLYN INNOSEQ INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS NINI FAN (PRESIDENT)
(646) 945-8999
Entity
Organization
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0002
(860) 679-2792
Mailing address
14127 79TH AVE APT 1D, FLUSHING, NY 11367-3673
(646) 945-8999
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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