Organization
BROOKVILLE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MEGAN PICOU GONZALES (REGISTERED NURSE)
(504) 453-0013
Entity
Organization
Contact information
Practice address
1983 MARCUS AVE, C118, NEW HYDE PARK, NY 11042-2000
(516) 497-7667
Mailing address
24 2ND ST, MANHASSET, NY 11030-3118
(504) 453-0013
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
721154-1
NY
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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