Individual
MR. CANISIO LUBON GARSUTA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
89 BARTLETT ST FL 2, BROOKLYN, NY 11206-4463
(718) 826-2666
Mailing address
89 BARTLETT ST, BROOKLYN, NY 11206-4463
(718) 828-2666
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
670151
NY
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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