Individual
EDVALDO RIBEIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7000 AUSTIN ST, SUITE 200, FOREST HILLS, NY 11375-1022
(718) 762-7633
Mailing address
257 KITTLE RD, HUDSON, NY 12534-3501
(917) 699-9908
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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