Individual
CARLINE CREVECOEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
668 MADISON ST APT 1B, BROOKLYN, NY 11221-2125
(347) 410-2235
Mailing address
668 MADISON ST APT 1B, BROOKLYN, NY 11221-2125
(347) 410-2235
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
554614
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
554614
NY
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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