Individual
MR. BOLIVAR RADAMES AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 SPRING VALLEY RD, OSSINING, NY 10562-2001
(914) 333-7000
Mailing address
15 SPRING VALLEY RD, OSSINING, NY 10562-2001
(914) 333-7000
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
309834
NY
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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