Individual
YAEL BURACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 KING ST, HILLSIDE, NJ 07205-3004
(917) 692-6671
Mailing address
PO BOX 4347, RIVER EDGE, NJ 07661-4347
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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