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Individual

TONY SHENDEROVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
400 DOANSBURG RD, BREWSTER, NY 10509-5902
(845) 279-2995
Mailing address
29 MIDDLEBUSH RD, WAPPINGERS FALLS, NY 12590-4044

Taxonomy

Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33
NY
Enumeration date
04/15/2021
Last updated
04/15/2021
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