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Individual

M S ELISABETH FANINI-LEMOINE COLON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
107 HART ST, APT.3, BROOKLYN, NY 11206-6814
(917) 287-2149
Mailing address
107 HART ST, APT.3, BROOKLYN, NY 11206-6814
(917) 287-2149

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
281104
NY

Other

Enumeration date
09/17/2015
Last updated
09/17/2015
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