Individual
MR. WILLIAM BETANCOURT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED
Contact information
Practice address
790 BRONX RIVER RD., UNIT A36, BRONXVILLE, NY 10708
(914) 439-9295
Mailing address
790 BRONX RIVER RD., UNIT A36, BRONXVILLE, NY 10708
(914) 439-9295
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
563063
NY
Other
Enumeration date
12/28/2012
Last updated
12/28/2012
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