Individual
MAGALI CRUZ-ANSELME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
EBC HIGH SCHOOL, 1155 DEKALB AVE, BROOKLYN, NY 11221
(718) 452-3440
Mailing address
EBC HIGH SCHOOL, 1155 DEKALB AVE, BROOKLYN, NY 11221
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
492622
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
492622
RN LICENSE
NY
Enumeration date
12/06/2017
Last updated
03/17/2018
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