Individual
BREEA MECCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 W 168TH ST, PH 5-505C, NEW YORK, NY 10032-3720
(212) 305-2179
Mailing address
622 W 168TH ST, PH 5-505C, NEW YORK, NY 10032-3720
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
548765-1
NY
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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