Individual
YELITZA PERDOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6132 172ND ST, FRESH MEADOWS, NY 11365-2028
(347) 357-9072
Mailing address
6132 172ND ST, FRESH MEADOWS, NY 11365-2028
(347) 357-9072
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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