Individual
MIRLANDE SEVERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
624 E NEW YORK AVE, BROOKLYN, NY 11203-1106
(917) 651-7983
Mailing address
624 E NEW YORK AVE, BROOKLYN, NY 11203-1106
(917) 651-7983
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
318464-1
NY
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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