Individual
AUDREY PIETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9803 AVENUE K, BROOKLYN, NY 11236-4407
(917) 584-6728
Mailing address
9803 AVENUE K, BROOKLYN, NY 11236-4407
(917) 584-6728
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
686174
NY
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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