Individual
CARLINE DELACRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
636 BROOKLYN AVE, BROOKLYN, NY 11203-1641
(917) 562-8963
Mailing address
636 BROOKLYN AVE, BROOKLYN, NY 11203-1641
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
283417
NY
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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