Individual
MS. MADINA BRANTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3711 QUEENS BLVD, LONG ISLAND CITY, LONG ISLAND CITY, NY 11101-1725
(718) 361-5100
(718) 361-5129
Mailing address
3711 QUEENS BLVD, LONG ISLAND CITY, LONG ISLAND CITY, NY 11101-1725
(718) 361-5100
(718) 361-5129
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
292101-1
NY
Other
Enumeration date
07/05/2012
Last updated
07/06/2012
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