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Individual

CHERRY A DAZZELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3175 E TREMONT AVE FL 2, BRONX, NY 10461-5700
(718) 239-8239
Mailing address
215 E 10TH ST BSMT, NEW YORK, NY 10003-7630
(929) 346-9232

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
04/24/2019
Last updated
04/24/2019
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