Individual
MRS. MAGDALINE THELEMAQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1417 E 84TH ST, BROOKLYN, NY 11236-5127
(347) 600-5651
Mailing address
1417 E 84TH ST, BROOKLYN, NY 11236-5127
(347) 600-5651
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
778110
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
778110
—
NY
Enumeration date
10/01/2019
Last updated
10/01/2019
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