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Brooke Ann Bialkwski

Licensed Practical Nurse in Hauppauge, NY. Individual provider (NPI-1).

NPI number1578045282
StatusActive
Last updated in NPPESAug 30, 2018

Details

NPI
1578045282
Entity type
Individual (NPI-1)
Name
Ms. Brooke Ann Bialkwski
Sex
Female
Sole proprietor
No
Enumeration date
Aug 30, 2018
Last updated
Aug 30, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse330221-1NYYes

Practice location

115 Windwatch Dr
Hauppauge, NY 11788-3350

Phone 631-265-9289

Mailing address

115 Windwatch Dr
Hauppauge, NY 11788-3350

Phone 631-265-9289

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