Individual
AMY STEPHANIE RONQUILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1824 MADISON AVE, NEW YORK, NY 10035-3832
(212) 423-4500
Mailing address
99 BERGEN AVE, KEARNY, NJ 07032-2005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P04498
NY
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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