Individual
ABIGAIL K BRIZAN-MELBOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPECIAL ED - INITIAL
Contact information
Practice address
12218 BENTON ST, SPRINGFIELD GARDENS, NY 11413-1051
(347) 423-5326
Mailing address
12218 BENTON ST, SPRINGFIELD GARDENS, NY 11413-1051
(347) 423-5326
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
884959
NY
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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