Individual
ANGELINA BOLORIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
644 W 173RD ST APT C5, NEW YORK, NY 10032-1436
(917) 569-4995
Mailing address
644 W 173RD ST APT C5, NEW YORK, NY 10032-1436
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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