Individual
PAMELA BUBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
357 17TH ST, BROOKLYN, NY 11215-6113
(917) 617-4084
Mailing address
359 17TH ST, BROOKLYN, NY 11215-6113
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
0852822
NY
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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