Individual
TANESE TALBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1606 E 94TH ST, BROOKLYN, NY 11236-5224
(347) 656-4090
Mailing address
1606 E 94TH ST, BROOKLYN, NY 11236-5224
(347) 656-4090
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/01/2014
Last updated
11/24/2016
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