Individual
BETTYNA BRUTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22023 101ST AVE, QUEENS VILLAGE, NY 11429-1645
(718) 828-2666
Mailing address
22023 101ST AVE, QUEENS VILLAGE, NY 11429-1645
(718) 828-2666
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
328361
NY
Other
Enumeration date
05/24/2017
Last updated
07/21/2022
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