Individual
JOHARA PERDOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 MORRIS PARK AVE, BRONX, NY 10461-1400
(347) 577-0681
(718) 409-6946
Mailing address
1266 OLMSTEAD AVE APT 4D, BRONX, NY 10462-4620
(347) 577-0681
(718) 409-6946
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
06/05/2012
Last updated
07/21/2022
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