Individual
CECILE AMISIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203-2054
(718) 245-3131
Mailing address
25911 148TH RD, JAMAICA, NY 11422-2903
(917) 863-2889
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F 3406501
NY
Other
Enumeration date
11/09/2016
Last updated
11/14/2016
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