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Individual

BARBARA BREWER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2778 BRUCKNER BLVD, BRONX, NY 10465-1934
(718) 863-4925
Mailing address
600 W 218TH ST APT 4H, NEW YORK, NY 10034-1013

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
568327
NY

Other

Enumeration date
08/24/2015
Last updated
08/24/2015
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