MICAH EASTMAN

BROOKLYN, NY
NPI1063640472
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  244647)
Enumeration Date2009-06-24
Last Update Date2009-06-24
Business Address
-- MICAH EASTMAN LPN
729A MACON ST
BROOKLYN, NY 11233-1313
Phone number: 917-862-5215
Mailing Address
-- MICAH EASTMAN LPN
35 TULIP AVENUE PO BOX 20838
FLORAL PARK, NY 11002
Phone number: 917-862-5215
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