Individual
MRS. EUMENIDE CHARLES VERNET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
547 E 85TH ST, BROOKLYN, NY 11236-3277
(917) 946-7317
Mailing address
547 E 85TH ST, BROOKLYN, NY 11236-3277
(917) 946-7317
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306366
NY
363LG0600X
Gerontology Nurse Practitioner
340894
NY
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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