Individual
MRS. YETTE INA SUSAN KORNBLUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1448 E 19TH ST, BROOKLYN, NY 11230-6716
(718) 336-2570
Mailing address
1448 E 19TH ST, BROOKLYN, NY 11230-6716
(718) 336-2570
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
294213091
NY
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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