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Individual

CHERRISSE BENN I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1646 CARROLL ST, BROOKLYN, NY 11213-5410
(718) 344-0677
Mailing address
1646 CARROLL ST, BROOKLYN, NY 11213-5410
(718) 344-0677

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
543412
NY

Other

Enumeration date
07/28/2015
Last updated
07/28/2015
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