Individual
UCELTA MACLORRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
445 LENOX RD # 30, BROOKLYN, NY 11203-2017
(718) 270-2811
(718) 270-1247
Mailing address
1527 LINCOLN PL APT 2A, BROOKLYN, NY 11213-4119
(718) 809-9684
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002112-1
NY
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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