Individual
MR. PETER BRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N
Contact information
Practice address
803 GRANT AVE, LAKE KATRINE, NY 12449
(845) 331-3970
Mailing address
4 KINGSTON ST, KINGSTON, NY 12401-2306
(845) 853-3971
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
575633
NY
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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