Individual
MS. KANIS FATEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SC
Contact information
Practice address
2148 OCEAN AVE STE 302, BROOKLYN, NY 11229-1484
(718) 375-2505
(718) 375-2472
Mailing address
2148 OCEAN AVE STE 302, BROOKLYN, NY 11229-1484
(718) 375-2505
(718) 375-2472
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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