Individual
MARCO RUBEN BARAHONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
2465 BATHGATE AVE, BRONX, NY 10458-5928
(718) 367-5917
Mailing address
618 E 3RD ST, BROOKLYN, NY 11218-4910
(718) 367-5917
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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