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Individual

AIDIL WASIELEWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
755 ELTON AVE APT 3, BRONX, NY 10451-5655
(347) 491-3798
Mailing address
755 ELTON AVE APT 3, BRONX, NY 10451-5655
(239) 216-3668

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
12/09/2024
Last updated
12/09/2024
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