Individual
ALIDA HURD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1765 SOUTH AVE, STATEN ISLAND, NY 10314-3604
(718) 761-9800
Mailing address
1765 SOUTH AVE, STATEN ISLAND, NY 10314-3604
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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