Individual
GEVI DOMINIQUE BRILLANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
234 E 85TH ST, NEW YORK, NY 10028-3001
(212) 241-6585
Mailing address
1 GUSTAVE L LEVY PL # 1118, NEW YORK, NY 10029-6504
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308639
NY
Other
Enumeration date
06/28/2018
Last updated
11/13/2024
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