Individual
IFE SAMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
849 E 17TH ST, BROOKLYN, NY 11230-3115
(718) 679-3464
Mailing address
849 E 17TH ST, BROOKLYN, NY 11230-3115
(718) 679-3464
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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