Individual
MRS. BROOKE L PITTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
485 LOMBARDY BLVD, BRIGHTWATERS, NY 11718-1007
(631) 398-8386
Mailing address
485 LOMBARDY BLVD, BRIGHTWATERS, NY 11718-1007
(631) 398-8386
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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