Individual
DEANNE NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5923 16TH AVE, BROOKLYN, NY 11204-2114
(718) 259-6122
(718) 259-6728
Mailing address
5923 16TH AVE, BROOKLYN, NY 11204-2114
(718) 259-6122
(718) 259-6728
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000325
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01588307
—
NY
Enumeration date
04/18/2007
Last updated
07/08/2007
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