Individual
HEATHER TELESFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
145 ROCHESTER AVE, BROOKLYN, NY 11213-2430
(917) 385-7469
Mailing address
145 ROCHESTER AVE, BROOKLYN, NY 11213-2430
(917) 385-7469
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2615308
NY
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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