Individual
ROSANNA SURUN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPED
Contact information
Practice address
2241 SEDGWICK AVE APT 1, BRONX, NY 10468-5702
(917) 669-0935
Mailing address
2241 SEDGWICK AVE APT 1, BRONX, NY 10468-5702
(917) 669-0935
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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