Individual
MS. MISTERLINE MARIE PARKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
648 E 105TH ST, BROOKLYN, NY 11236-2506
(347) 337-7283
Mailing address
648 E 105TH ST, BROOKLYN, NY 11236-2506
(347) 337-7283
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
654396
NY
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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