Individual
ERICA MICHELE WESTBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
62 GATES AVE, BRENTWOOD, NY 11717-2514
(631) 381-2413
Mailing address
62 GATES AVE, BRENTWOOD, NY 11717-2514
(631) 381-2413
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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