Individual
MR. ALEX JASON RONACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 NORTH DR, WHITESTONE, NY 11357-1067
(718) 781-3438
Mailing address
24 NORTH DR, WHITESTONE, NY 11357-1067
(718) 781-3438
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
009439
NY
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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