Individual
JENNIFER VALDERRAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
987 SUMIT AVE, BRONX, NY 10452
(212) 945-8266
Mailing address
987 SUMMIT AVE APT 4F, BRONX, NY 10452-5032
(212) 945-8266
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
974658735
NY
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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