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Individual

VENESSA AUDREY HARRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
1121 EAST 37TH STREET, BROOKLYN, NY 11210-4333
(718) 951-0677
(718) 951-0677
Mailing address
1121 EAST 37TH STREET, BROOKLYN, NY 11210-4333
(718) 951-0677
(718) 951-0677

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N0054181
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02063550
NY
Enumeration date
11/07/2006
Last updated
07/08/2007
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