Individual
BRIDGETTE HARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
385 PEARSALL AVE, CEDARHURST, NY 11516-1800
(718) 659-1919
Mailing address
385 PEARSALL AVE, CEDARHURST, NY 11516-1800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
081391-1
NY
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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