Individual
HALLIE J BLEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10201 66TH RD, FOREST HILLS, NY 11375-2029
(718) 830-4000
Mailing address
350 77TH ST, BROOKLYN, NY 11209-3110
(347) 517-4065
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F430594-1
NY
Other
Enumeration date
07/04/2011
Last updated
07/04/2011
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