Individual
GABRIELLE BOGUSLAWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9115 5TH AVE, BROOKLYN, NY 11209-5909
(718) 491-3350
Mailing address
9115 5TH AVE, BROOKLYN, NY 11209-5909
(718) 491-3350
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
656627
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100925873
—
NY
Enumeration date
07/24/2012
Last updated
03/22/2018
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