Individual
BORGE FOUCAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
175 HAWTHORNE ST, BROOKLYN, NY 11225-5861
(347) 533-8770
Mailing address
175 HAWTHORNE ST, BROOKLYN, NY 11225-5861
(347) 533-8770
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
650361
NY
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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