Individual
MERLENE GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
(718) 486-4221
(718) 508-4632
Mailing address
385 SENECA AVE, REDWOOD, NY 11385
(718) 749-1216
(718) 453-3634
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F340141
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02367375
—
NY
Enumeration date
08/30/2006
Last updated
08/04/2014
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