Individual
GAIL CUDJOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
681 CLARKSON AVE, BROOKLYN, NY 11203-2199
(718) 221-7772
Mailing address
12012 147TH ST, JAMAICA, NY 11436-1542
(917) 689-0365
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
48111701
NY
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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