Individual
TERESA DI BONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2503 LURTING AVE, BRONX, NY 10469-4408
(347) 886-9485
Mailing address
2503 LURTING AVE, BRONX, NY 10469-4408
(347) 886-9485
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1347703
NY
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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