Individual
RAVEN DOMINIQUE BEDONIA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2121 PAULDING AVE APT 4B, BRONX, NY 10462-2136
(347) 394-6182
Mailing address
2121 PAULDING AVE APT 4B, BRONX, NY 10462-2136
(347) 394-6182
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
040339-01
NY
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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