Individual
KRISTINA MARIE PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1247 BRADFORD AVE., APT. BSMT, BRONX, NY 10461
(347) 993-0339
Mailing address
1247 BRADFORD AVE APT BSMT, BRONX, NY 10461-6184
(347) 993-0339
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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