Organization
BEBREH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SULLYTE ELIE (OWNER)
(845) 659-9368
Entity
Organization
Contact information
Practice address
121 MAIN ST, NANUET, NY 10954-2800
(845) 659-9368
Mailing address
121 MAIN ST, NANUET, NY 10954-2800
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
962778021
NY
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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