Individual
MISS AVARIAH ALECIA GELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1767 E 91ST ST, BROOKLYN, NY 11236-5405
(347) 668-3788
Mailing address
1767 E 91ST ST, BROOKLYN, NY 11236-5405
(347) 668-3788
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
549157
NY
Other
Enumeration date
03/06/2010
Last updated
03/06/2010
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