Individual
COLEEN BRIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1484 E 87TH ST, BROOKLYN, NY 11236
(347) 702-5500
Mailing address
1484 E 87TH ST, BROOKLYN, NY 11236
(347) 702-5500
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
554232
NY
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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