Individual
CLYDE MATTHEW RANADA LABIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 NAGLE AVE, NEW YORK, NY 10040-1405
(212) 928-7800
(212) 928-7900
Mailing address
16414 GOETHALS AVE, JAMAICA, NY 11432-1224
(929) 412-9527
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
027637-01
NY
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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