DEJUAN LEE KINCHELOW

BROOKLYN, NY
NPI1578213997
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-03-28
Last Update Date2022-03-28
Business Address
DEJUAN LEE KINCHELOW MD
1 BROOKDALE PLZ
BROOKLYN, NY 11212-3198
Phone number: 718-240-5000
Mailing Address
DEJUAN LEE KINCHELOW MD
1 BROOKDALE PLZ
BROOKLYN, NY 11212-3139
Phone number: 718-240-5000