Rousseau Etienne
Licensed Practical Nurse in Brooklyn, NY. Individual provider (NPI-1).
NPI number1043674922
StatusActive
Last updated in NPPESApr 7, 2016
Details
- NPI
- 1043674922
- Entity type
- Individual (NPI-1)
- Name
- Rousseau Etienne
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 7, 2016
- Last updated
- Apr 7, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 325167 | NY | Yes |
Practice location
1695 Remsen AveBrooklyn, NY 11236-5233
Phone 917-335-7427 · Fax 718-287-4600
Mailing address
1695 Remsen AveBrooklyn, NY 11236-5233
Phone 917-335-7427 · Fax 718-287-4600
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