Individual
MRS. ALIDA MARIA CASIMIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
358 EAST 149TH STREET, 2ND FLOOR, BRONX, NY 10455
(718) 485-2100
(718) 485-2101
Mailing address
3237 RADCLIFF AVE, BRONX, NY 10469
(718) 515-2680
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
72085178
NY
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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