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Individual

ANN MAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2625 E 14TH ST, SUITE 200, BROOKLYN, NY 11235-3979
(718) 769-2698
Mailing address
2625 E 14TH ST, SUITE 200, BROOKLYN, NY 11235-3979
(718) 769-2698

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1222594
NY

Other

Enumeration date
07/30/2012
Last updated
07/30/2012
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