Individual
BRESNELT NICOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2107 DITMAS AVE, BROOKLYN, NY 11226-6903
(718) 462-8100
Mailing address
2107 DITMAS AVE, BROOKLYN, NY 11226-6903
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
11015246
FL
Other
Enumeration date
09/01/2021
Last updated
09/03/2021
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