Individual
CANDIDA ROSA MINIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203-2054
(917) 500-1367
Mailing address
953 CLEVELAND ST, BROOKLYN, NY 11208-5313
(917) 500-1367
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
745419
NY
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
745419
NY
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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