Individual
ASTRIDE MOMPREMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
214-10 24THAVENUE, SUITE2, BAYSIDE, NY 11360
(347) 321-4094
Mailing address
214-10 24THAVENUE, SUITE2, BAYSIDE, NY 11360
(347) 321-4094
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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