Individual
DANISE VICTORIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E 18TH ST, 2-B, BROOKLYN, NY 11226-3745
(347) 706-0897
Mailing address
100 E 18TH ST, 2-B, BROOKLYN, NY 11226-3745
(347) 706-0897
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
275378
NY
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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