Individual
CHARON GREENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2778 BRUCKNER BLVD, BRONX, NY 10465-1934
(718) 863-4925
(718) 863-5316
Mailing address
2778 BRUCKNER BLVD, BRONX, NY 10465-1934
(718) 863-4925
(718) 863-5316
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014604-1
NY
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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