Individual
CARMELLE LAGREDELLE SANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1417 E 87TH ST, BROOKLYN, NY 11236-5137
(347) 388-5556
Mailing address
1417 E 87TH ST, BROOKLYN, NY 11236-5137
(347) 388-5556
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6966541
NY
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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