Organization
ROUSSEAU ETIENNE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROUSSEAU ETIENNE (LPN)
(917) 335-7427
Entity
Organization
Contact information
Practice address
1695 REMSEN AVE, BROOKLYN, NY 11236-5233
(917) 335-7427
(718) 287-4300
Mailing address
1695 REMSEN AVE, BROOKLYN, NY 11236-5233
(917) 335-7427
(718) 287-4600
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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