Individual
CAROLINA TAVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 W 190TH ST APT 4H, NEW YORK, NY 10040
(347) 740-0243
Mailing address
2248 BROADWAY # 1246, NEW YORK, NY 10024-5805
(347) 370-9754
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
07/03/2023
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