Individual
EVANGELINA BRENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8610 ATLANTIC AVE APT 1R, OZONE PARK, NY 11416-1324
(718) 269-9422
Mailing address
8610 ATLANTIC AVE APT 1R, OZONE PARK, NY 11416-1324
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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