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Individual

MARTINE DUROSEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3018 GLENWOOD RD, BROOKLYN, NY 11210-2642
(718) 856-6800
(718) 856-6878
Mailing address
3018 GLENWOOD RD, BROOKLYN, NY 11210-2642
(718) 856-6800
(718) 856-6878

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
1432L001
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1295951614
NY
05
1578002697
NY
Enumeration date
08/09/2021
Last updated
08/09/2021
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