Individual
ALEJANDRO BEAUBRUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1208 E 98TH ST, BROOKLYN, NY 11236-4402
(917) 530-0213
Mailing address
1208 E 98TH ST, BROOKLYN, NY 11236-4402
(917) 530-0213
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
325439
NY
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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