Individual
MS. BREA LYNNE INKLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
236 E 36TH ST, APT 11D, NEW YORK, NY 10016-3777
(516) 244-4479
Mailing address
236 E 36TH ST APT 11D, NEW YORK, NY 10016-3721
(516) 244-4479
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
021395
NY
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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