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Individual

KWIN YEHUDEE RAMOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5524 VAN HORN ST, ELMHURST, NY 11373-4360
(718) 446-3308
Mailing address
8920 55TH AVE, APT. 2Q, ELMHURST, NY 11373-4553
(646) 240-7806

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
010948
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010948
NY STATE LICENSE
NY
Enumeration date
03/08/2012
Last updated
03/08/2012
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