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Organization

BETH ISRAEL MEDICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NICOLE LETICIA KEMP LPN (NURSE)
(678) 296-1686
Entity
Organization

Contact information

Practice address
10 REVERE PLACE, BROOKLYN, NY 11213
(678) 296-1686
Mailing address
10 REVERE PLACE, BROOKLYN, NY 11213

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
307205-1
NY

Other

Enumeration date
10/20/2011
Last updated
10/20/2011
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