Individual
AVRAM SAMUEL RIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
90 LA SALLE ST, NEW YORK, NY 10027-4719
(212) 663-9318
Mailing address
200 WINSTON DR APT 804, CLIFFSIDE PARK, NJ 07010-3214
(973) 885-5931
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
$$$$$$$$$
NJ
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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