Individual
MS. BETTY DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 MANHATTAN AVE, BROOKLYN, NY 11206-3950
(718) 388-3075
Mailing address
681 CLARKSON AVE, BROOKLYN, NY 11203-2125
(718) 221-8800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
556161
NY
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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