Individual
CEDRIC HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9002 161ST ST, JAMAICA, NY 11432-6108
(718) 520-1513
(718) 520-6460
Mailing address
2006 SURF AVE APT 1805, BROOKLYN, NY 11224-2454
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
10/03/2024
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