Individual
OLESYA MENON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47 PLAZA ST W, BROOKLYN, NY 11217-3905
(718) 789-4332
Mailing address
47 PLAZA ST W, BROOKLYN, NY 11217-3905
(718) 789-4332
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F310995
NY
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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