Individual
MR. KENNETH BARACALDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, MT-BC, LCAT
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(347) 661-9917
Mailing address
7 TERRACE CIR APT 1E, GREAT NECK, NY 11021-4127
(347) 661-9917
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
13782
NY
Other
Enumeration date
03/19/2020
Last updated
02/24/2022
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