Individual
CLAUDE ALINE CHARLES PERICLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 NORTH PORTLAND AVENUE, DEPARTMENT OF MEDICINE, BROOKLYN, NY 11205
(718) 260-7500
Mailing address
760 BROADWAY, DEPARTMENT OF MANGED CARE ROOM 2B-230, BROOKLYN, NY 11236
(718) 630-3220
(718) 630-3122
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F333819-1
NY
Other
Enumeration date
09/16/2010
Last updated
08/18/2015
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