Individual
NASIA NORDELUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1865 FLATBUSH AVE, BROOKLYN, NY 11210-4840
(516) 444-2984
Mailing address
1865 FLATBUSH AVE, BROOKLYN, NY 11210-4840
(516) 444-2984
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
316260
NY
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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