Organization
WHITE GLOVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAUZIATU MUKAILA RN (STAFF NURSE)
(646) 260-7380
Entity
Organization
Contact information
Practice address
85 BARTLETT ST, BROOKLYN, NY 11206-4429
(718) 387-8163
Mailing address
854 EUCLID AVE, BROOKLYN, NY 11208-5017
(646) 260-7380
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
591952-1
NY
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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