Individual
FALLA LAWRENCE POLYCARPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1457 E 93RD ST, BROOKLYN, NY 11236-5042
(347) 933-7760
Mailing address
1457 E 93RD ST, BROOKLYN, NY 11236-5042
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F421408-01
NY
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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