Individual
BRIANNA C DOMINIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
860 E 17TH ST, BROOKLYN, NY 11230-3116
(718) 869-4038
Mailing address
860 E 17TH ST, BROOKLYN, NY 11230-3116
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
936615
NY
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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