Individual
DECLAN JERMEL BRAMBLE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 JENNINGS ST, BRONX, NY 10459-1204
(718) 378-0006
Mailing address
1626 E 172ND ST, BRONX, NY 10472-2204
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
1479836
NY
Other
Enumeration date
03/10/2018
Last updated
03/10/2018
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