Individual
MS. KRISTEN MENALDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
329 E 149TH ST, 4TH FLOOR, BRONX, NY 10451-5601
(718) 769-2698
Mailing address
329 E 149TH ST, 4TH FLOOR, BRONX, NY 10451-5601
(718) 769-2698
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7770003266538701
—
NJ
Enumeration date
04/04/2016
Last updated
04/04/2016
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