Individual
FELICIA COLLEEN GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1583 EAST 96TH STREET, BROOKLYN, NY 11236
(718) 763-7568
Mailing address
1583 E 96TH ST, TH STREET, BROOKLYN, NY 11236-5401
(718) 763-7568
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
609417
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PK86597Q
—
NY
Enumeration date
05/24/2010
Last updated
05/24/2010
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