Individual
CHRISTINE FAVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
535 CARLTON AVE, BROOKLYN, NY 11238-4459
(914) 886-2475
Mailing address
535 CARLTON AVE, BROOKLYN, NY 11238-4459
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
336462
NY
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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