Individual
MS. DESIREE ULALIE HARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
339 MARTENSE ST, 1ST FL, BROOKLYN, NY 11226-4201
(718) 284-7265
Mailing address
339 MARTENSE ST, BROOKLYN, NY 11226-4201
(718) 284-7265
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
420207
NY
163WH0200X
Home Health Registered Nurse
Primary
420207
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02287429
—
NY
Enumeration date
08/15/2007
Last updated
10/27/2007
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