Individual
ALEX AGHANWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2175 QUARRY RD, BRONX, NY 10457-1663
(718) 473-3808
Mailing address
350 HARVARD AVE, HILLSIDE, NJ 07205-2005
(347) 245-0370
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
023558
NY
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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