Individual
CERILENE SMALL-KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
(718) 240-5000
Mailing address
4010 AVENUE K, BROOKLYN, NY 11210-4945
(917) 589-9736
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
346426
NY
Other
Enumeration date
01/03/2021
Last updated
02/16/2025
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