Individual
KEWIN BERNARDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
941 SIMPSON ST, BRONX, NY 10459-3327
(718) 510-3157
Mailing address
941 SIMPSON ST, BRONX, NY 10459-3327
(718) 510-3157
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031085
NY
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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