Individual
CLOYETTE GAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
294 LEFFERTS AVE, BROOKLYN, NY 11225-4115
(718) 941-7724
Mailing address
294 LEFFERTS AVE, BROOKLYN, NY 11225-4115
(718) 941-7724
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305987
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
305987
LPN LICENSE
NY
Enumeration date
10/20/2011
Last updated
10/31/2011
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