Individual
MICAELA AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5383
(718) 963-6091
Mailing address
10561 AVENUE N, BROOKLYN, NY 11236-4613
(917) 385-9850
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
626651
NY
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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