Individual
MS. ALTAGRACIA BRUTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
239 E 198TH ST, BRONX, NY 10458-3147
(718) 933-1465
Mailing address
19 FIELDSTONE DR., APT #156, HARTSDALE, NY 10530
(914) 946-3101
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
049563
NY
Other
Enumeration date
12/14/2007
Last updated
12/14/2007
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