Individual
URSULA MA STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
391 EAST 149 ST, SUITE 417, BRONX, NY 10455
(917) 362-9766
Mailing address
391 E 149TH ST RM 417, BRONX, NY 10455-3907
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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