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Individual

BRACHA ALTA SKOLNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1312 38TH ST, BROOKLYN, NY 11218-3612
(305) 725-0747
Mailing address
1312 38TH ST, BROOKLYN, NY 11218-3612
(305) 725-0747

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
029502
NY

Other

Enumeration date
02/10/2020
Last updated
02/10/2020
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