Individual
CORAZON TAPERE TY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
681 CLARKSON AVE, BROOKLYN, NY 11203-2125
(718) 221-7819
Mailing address
681 CLARKSON AVE, BROOKLYN, NY 11203-2125
(718) 221-7819
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
372587
NY
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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