Individual
BETINA JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2920 CORTELYOU RD # A, BROOKLYN, NY 11226-6313
(718) 287-4300
(718) 287-4600
Mailing address
2920 CORTELYOU RD # A, BROOKLYN, NY 11226-6313
(718) 287-4300
(718) 287-4600
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
308111
NY
Other
Enumeration date
12/15/2012
Last updated
12/15/2012
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