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Individual

MOUSTAPHA DEDDICH JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
752 GLENMORE AVE # 1B, BROOKLYN, NY 11208-2226
(317) 400-2614
Mailing address
752 GLENMORE AVE # 1B, 1B BASEMENT, BROOKLYN, NY 11208-2226
(317) 400-2614

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
NY

Other

Enumeration date
12/01/2025
Last updated
12/01/2025
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