Individual
NELLY KOROTUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 CONEY ISLAND AVE, BROOKLYN, NY 11223-2329
(718) 676-4260
Mailing address
760 67TH ST, APT 2D, BROOKLYN, NY 11220-5606
(718) 696-7711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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