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Individual

RICHARD DIVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
465 GRAND ST, NEW YORK, NY 10002-4800
(212) 420-1999
Mailing address
1743 SHORE PKWY, BROOKLYN, NY 11214-6510

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
1285943181
NY

Other

Enumeration date
01/14/2019
Last updated
01/14/2019
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