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Individual

AJENE NEWMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1152 PACIFIC ST, BROOKLYN, NY 11216-2937
(917) 407-2921
Mailing address
1152 PACIFIC ST, BROOKLYN, NY 11216-2937

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
314072
NY

Other

Enumeration date
08/06/2013
Last updated
08/06/2013
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