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Individual

DIONNE AVERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
470 CLARKSON AVE STE B, BROOKLYN, NY 11203-2012
(718) 270-1896
(718) 270-2653
Mailing address
445 LENOX RD, BROOKLYN, NY 11203-2017
(718) 270-4718
(718) 270-2653

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
686926-1
NY
363LF0000X
Family Nurse Practitioner
Primary
F340310
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00695941
NY
Enumeration date
07/19/2015
Last updated
09/24/2019
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