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Individual

JAIME ALLEYNE-BERMUDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12030 164TH ST, JAMAICA, NY 11434-5739
(718) 350-4152
Mailing address
12030 164TH ST, JAMAICA, NY 11434-5739
(718) 350-4152

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
719837131
NY

Other

Enumeration date
01/12/2015
Last updated
01/12/2015
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