Individual
ROOTHCHILD ST GERMAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
270 CROWN ST, BROOKLYN, NY 11225-2356
(347) 461-8366
Mailing address
270 CROWN ST, BROOKLYN, NY 11225-2356
(347) 461-8366
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
676482-1
NY
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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