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Individual

ZOEMY ALMODOVAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
175 LAWRENCE AVE, BROOKLYN, NY 11230-1102
(917) 555-5555
Mailing address
9115 LAMONT AVE APT 3C, ELMHURST, NY 11373-2765
(917) 889-1093

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/07/2018
Last updated
09/07/2018
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