Individual
BRIDGET SOWULSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8866 MYRTLE AVE, GLENDALE, NY 11385-7857
(718) 850-0400
Mailing address
8623 76TH ST, WOODHAVEN, NY 11421-1007
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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