Individual
STELLA KOUTSAKIS-RALLAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8502 RIDGE BLVD, BROOKLYN, NY 11209-4308
(718) 836-8096
Mailing address
370 90TH ST, BROOKLYN, NY 11209-5871
(917) 528-1719
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
664488
NY
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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