Provider Demographics
NPI:1851146070
Name:DOSSOU-KITTI, CLAUDETTE (RN)
Entity type:Individual
Prefix:
First Name:CLAUDETTE
Middle Name:
Last Name:DOSSOU-KITTI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2208 CORTELYOU RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-6115
Mailing Address - Country:US
Mailing Address - Phone:718-722-1857
Mailing Address - Fax:
Practice Address - Street 1:2208 CORTELYOU RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-6115
Practice Address - Country:US
Practice Address - Phone:718-722-1857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY750323163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse