Individual
AWA DRAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
679 WHISKEY ROAD, RIDGE, NY 11961
(631) 821-8090
(631) 821-8366
Mailing address
679 WHISKEY RD, RIDGE, NY 11961-8352
(631) 821-8090
(631) 821-8366
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
006936-1
NY
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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