Individual
MARINA GRULLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 EINSTEIN LOOP, BRONX, NY 10475-4974
(718) 320-3082
Mailing address
1935 MCGRAW AVE, 6H, BRONX, NY 10462-7976
(646) 323-9827
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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