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Individual

DR. RONDA LEA FACCHINI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
3230 BAINBRIDGE AVE, C, BRONX, NY 10467-3963
(718) 944-1832
Mailing address
111 EAST 210TH ST, NEUROLOGY, BRONX, NY 10467-2490
(718) 944-1832

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
012871
NY

Other

Enumeration date
11/10/2008
Last updated
11/10/2008
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