Individual
CHARLENE LIVERPOOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
897 E 56TH ST, 6D, BROOKLYN, NY 11234-1734
(718) 473-5896
(718) 209-1439
Mailing address
897 E 56TH ST, 6D, BROOKLYN, NY 11234-1734
(718) 473-5896
(718) 209-1439
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
245146-1
NY
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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