Individual
VERONICA BLAKELY-EWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
790 ELDERT LN, APT 8R, BROOKLYN, NY 11208-4753
(718) 277-0234
Mailing address
790 ELDERT LN, APT 8R, BROOKLYN, NY 11208-4753
(718) 277-0234
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
3279251
NY
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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