Individual
MARICIEL BRITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15813 72ND AVE, FRESH MEADOWS, NY 11365-1140
(347) 571-2179
Mailing address
15813 72ND AVE, FRESH MEADOWS, NY 11365-1140
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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