Individual
NINA JOELLE BREAKSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1057 PAUL MAILLARD RD, LULING, LA 70070-4349
(985) 785-6242
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
269756-1
NY
207P00000X
Emergency Medicine Physician
Primary
MD.204333
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04254007
—
MS
05
—
1972959
—
LA
Enumeration date
03/27/2009
Last updated
01/08/2016
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