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1962265132
JOHANE N/A DESRUISSEAUX
BROOKLYN, NY
NPI
1962265132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY F405123-01)
Enumeration Date
2024-01-31
Last Update Date
2024-09-11
Business Address
JOHANE N/A DESRUISSEAUX NP
81 JUNIUS ST
BROOKLYN, NY 11212-8004
Phone number: 718-866-1055
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Mailing Address
JOHANE N/A DESRUISSEAUX NP
30 E 33RD ST
NEW YORK, NY 10016-5337
Phone number: 212-366-4459
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