Individual
ANA URENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
604 TOMPKINS AVE, APT. B3, MAMARONECK, NY 10543-3744
(914) 648-2278
Mailing address
604 TOMPKINS AVE, APT. B3, MAMARONECK, NY 10543-3744
(914) 648-2278
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
482574
NY
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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