Individual
RAYDHIRI HIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3050 CORLEAR AVE APT 514, BRONX, NY 10463-5184
(917) 299-3799
Mailing address
3050 CORLEAR AVE APT 514, BRONX, NY 10463-5184
(917) 299-3799
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0092781
NY
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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