Individual
BEVERLEY Y O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13950 230TH ST, LAURELTON, NY 11413-2923
(718) 949-2162
Mailing address
13950 230TH ST, LAURELTON, NY 11413-2923
(718) 949-2162
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
249507
NY
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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