Individual
LIBA FOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1336 E 34TH ST, BROOKLYN, NY 11210-4820
(917) 573-0064
Mailing address
1336 E 34TH ST, BROOKLYN, NY 11210-4820
(917) 573-0064
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
010479
NY
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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