Organization
BENNETTE NY VENTURES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE VILLA-ROLDAN (SHAREHOLDER)
(646) 436-8276
Entity
Organization
Contact information
Practice address
3763 83RD ST, APT 403, JACKSON HEIGHTS, NY 11372-7146
(646) 436-8276
Mailing address
3763 83RD ST, APT 403, JACKSON HEIGHTS, NY 11372-7146
(646) 436-8276
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0149191
NY
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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