Individual
MRS. ALICE KINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10551 FLATLANDS 2ND ST, BROOKLYN, NY 11236-3009
(347) 240-3377
Mailing address
10551 FLATLANDS 2ND ST, BROOKLYN, NY 11236-3009
(347) 240-3377
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
375899
NY
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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