Individual
MR. JEAN CETOUTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
276 5TH AVE STE 704-2112, NEW YORK, NY 10001-4509
(718) 947-6379
Mailing address
947 E 82ND ST, BROOKLYN, NY 11236-3811
(718) 930-7136
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405385
NY
Other
Enumeration date
09/26/2019
Last updated
09/03/2024
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