Individual
BRURIA TENDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
46 GRANDVIEW AVE # 10977, SPRING VALLEY, NY 10977-1321
(845) 356-0191
Mailing address
6 COUNTRY CLUB LN, AIRMONT, NY 10952-4514
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1090947
NY
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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