Individual
BROOKE BEIDECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(121) 226-3730
Mailing address
222 E 18TH ST APT 2F, NEW YORK, NY 10003-3666
(816) 803-3726
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100455
NY
Other
Enumeration date
06/09/2013
Last updated
11/20/2015
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