Individual
ERICA KOLEOSHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1227 E 56TH ST, BROOKLYN, NY 11234-3329
(718) 344-5082
Mailing address
1227 E 56TH ST, BROOKLYN, NY 11234-3329
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
339958-1
NY
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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