SAMUEL R MICKENS

BROOKLYN, NY
NPI1942531132
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: NY  569459-1)
Enumeration Date2010-01-27
Last Update Date2010-01-27
Business Address
-- SAMUEL R MICKENS RN
175 REMSEN ST FL 10
BROOKLYN, NY 11201-4300
Phone number: 718-852-5552
Mailing Address
-- SAMUEL R MICKENS RN
175 REMSEN ST FL 10
BROOKLYN, NY 11201-4300
Phone number: 718-852-5552
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