Individual
AIMEE PATRICIA TAVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
551 W 157TH ST APT 62, NEW YORK, NY 10032-7653
(347) 283-1227
Mailing address
551 W 157TH ST APT 62, NEW YORK, NY 10032-7653
(347) 283-1227
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1697297231
NY
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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