Individual
CECILIA IWU SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9815 HORACE HARDING EXPY, APT# 2C, CORONA, NY 11368-4249
(917) 825-0317
Mailing address
9815 HORACE HARDING EXPY, APT# 2C, CORONA, NY 11368-4249
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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