Individual
SHERINA HOLLINGSWORTH PEREDAVIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24307 130TH AVE, ROSEDALE, NY 11422-1110
(347) 993-4336
Mailing address
24307 130TH AVE, ROSEDALE, NY 11422-1110
(347) 993-4336
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NY
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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