Individual
DEXTER MEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3360 SHORE PKWY STE C1, BROOKLYN, NY 11235-2716
(718) 769-0405
Mailing address
351 E 45TH ST APT 5, BROOKLYN, NY 11203-3152
(347) 344-7546
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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