Individual
BRENDA GRACIELA CEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-7219
Mailing address
6 MARBLE ST, STATEN ISLAND, NY 10314-2132
(718) 749-6530
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
006979
NY
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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