Individual
MS. MARILYN NAOMI CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
1363 E 65TH ST, BROOKLYN, NY 11234-5601
(646) 256-9675
(718) 763-2738
Mailing address
1363 E 65TH ST, BROOKLYN, NY 11234-5601
(646) 256-9675
(718) 763-2738
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
680660
NM
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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