Individual
LEONIDE JOELLE MINGOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 E 105TH ST, BROOKLYN, NY 11236-3002
(917) 618-7373
Mailing address
1060 E 105TH ST, BROOKLYN, NY 11236-3002
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
561297
NY
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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