Individual
ASTRID DIVINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 E 56TH ST, STE 1010, NEW YORK, NY 10022-3607
(212) 759-2211
Mailing address
144 BLUE HERON DR, SECAUCUS, NJ 07094-2932
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
039258
NY
Other
Enumeration date
09/17/2015
Last updated
04/08/2021
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