Individual
MYLDRED PREVIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
497 LINDEN BLVD, APT A6, BROOKLYN, NY 11203-2901
(718) 604-7533
Mailing address
497 LINDEN BLVD, APT A6, BROOKLYN, NY 11203-2901
(718) 604-7533
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
521156
NY
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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