THEODOR BROCKWAY

NEW YORK, NY
NPI1902390693
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NY  702059)
Enumeration Date2018-06-18
Last Update Date2022-08-09
Business Address
THEODOR BROCKWAY
550 1ST AVE
NEW YORK, NY 10016
Phone number: 212-263-7300
Mailing Address
THEODOR BROCKWAY
358 LEWIS AVE APT 2
BROOKLYN, NY 11233-1118
Phone number: 415-630-0346
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