Individual
MR. ROSS PATRICK TICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1352 DEKALB AVE APT 2, BROOKLYN, NY 11221-3315
(347) 952-6007
Mailing address
1352 DEKALB AVE APT 2, BROOKLYN, NY 11221-3315
(347) 952-6007
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
293795
NY
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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