Individual
BERNADETTE ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2950 W 25TH ST, BROOKLYN, NY 11224-2216
(718) 449-8000
Mailing address
488 HARMAN ST, BROOKLYN, NY 11237-4806
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1163976
NY
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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