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1114635760
BRANNY FAUSTO TAVAREZ
BROOKLYN, NY
NPI
1114635760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 855571-01)
Enumeration Date
2022-11-14
Last Update Date
2022-11-14
Business Address
BRANNY FAUSTO TAVAREZ RN
790 BROADWAY # 11206
BROOKLYN, NY 11206-5316
Phone number: 718-388-5176
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Mailing Address
BRANNY FAUSTO TAVAREZ RN
2747 SEDGWICK AVE BSMT
BRONX, NY 10468-3124
Phone number: 646-698-1876
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