Individual
CLAUDIA NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
164 CARROLL ST, BROOKLYN, NY 11231-3508
(917) 671-6587
Mailing address
164 CARROLL ST, BROOKLYN, NY 11231-3508
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004454-1
NY
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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