Individual
MS. LYSE L VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900B RALPH AVE, BROOKLYN, NY 11234-5302
(718) 253-1366
(718) 253-5890
Mailing address
1900B RALPH AVE, BROOKLYN, NY 11234-5302
(718) 253-1366
(718) 253-5890
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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