Individual
BONNIE DEITCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2335 GERRITSEN AVE, BROOKLYN, NY 11229-5701
(718) 834-0597
Mailing address
1 BEVY CT, BROOKLYN, NY 11229-5935
(646) 294-2086
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
605866
NY
163WS0200X
School Registered Nurse
605866
NY
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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