Organization
HEALTHY CAPITAL DISTRICT INITIATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANYELLE MARIE BROOKINS AAS (DENTAL HYGIENIST)
(518) 462-7049
Entity
Organization
Contact information
Practice address
315 SHERIDAN AVE, ALBANY, NY 12206-3133
(518) 462-7049
Mailing address
315 SHERIDAN AVE, ALBANY, NY 12206-3133
(518) 462-7049
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020288
NY
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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