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Individual

MRS. AMARILIS Y AREVALO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSED

Contact information

Practice address
3605 SEDGWICK AVE, APT B41, BRONX, NY 10463-6039
(718) 708-6402
Mailing address
7000 AUSTIN, SUITE 200, FOREST HILL, NY 11375
(718) 762-7633

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2370589
NY

Other

Enumeration date
05/11/2017
Last updated
05/22/2017
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