Individual
ARDELY J CONCEPCION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPECIAL EDUCATOR
Contact information
Practice address
349 MAPLE AVE, LYNDHURST, NJ 07071-2720
(917) 648-0532
Mailing address
349 MAPLE AVE, LYNDHURST, NJ 07071-2720
(917) 648-0532
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
252Y00000X
NY
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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