Individual
MYRIANE ISIDORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
(718) 240-5000
Mailing address
3248 BERTHA DR, BALDWIN, NY 11510-5001
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
3871284
NY
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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