Individual
MYRTHA BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
596 LOUISIANA AVE # 1, BROOKLYN, NY 11239-1525
(718) 642-6449
(718) 642-4584
Mailing address
265B CLIFTON AVE, STATEN ISLAND, NY 10305-1601
(718) 447-6398
(718) 642-4584
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
470855-1
NY
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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