Individual
MINA B. FABRICANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
455 OCEAN PKWY, BROOKLYN, NY 11218-5151
(917) 789-9150
Mailing address
455 OCEAN PKWY, BROOKLYN, NY 11218-5151
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
013456
NY
Other
Enumeration date
12/18/2012
Last updated
02/26/2013
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