Individual
JESSE PAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
880 MORRIS AVE, BRONX, NY 10451-3412
(718) 665-9340
Mailing address
880 MORRIS AVE, BRONX, NY 10451-3412
(718) 665-9340
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NY
Other
Enumeration date
11/17/2013
Last updated
11/18/2015
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