Individual
MS. PERPETUA O IGWEATU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
860 MELROSE AVE FRNT 2L, BRONX, NY 10451-5757
(917) 473-6996
(718) 504-4551
Mailing address
4081 AMUNDSON AVE, BRONX, NY 10466-2330
(646) 593-0538
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
071854
NY
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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