Individual
DOREEN POOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
7101 SHORE RD, APT. 1E, BROOKLYN, NY 11209-1859
(718) 702-7135
Mailing address
7101 SHORE RD, APT. 1E, BROOKLYN, NY 11209-1859
(718) 702-7135
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
707781
NY
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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