Individual
MRS. EVE K BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1068 E 229TH ST, BRONX, NY 10466-4808
(917) 447-3661
Mailing address
1068 E 229TH ST, BRONX, NY 10466-4808
(917) 447-3661
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1001522151
NY
252Y00000X
Early Intervention Provider Agency
955942151
NY
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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