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Individual

ALMA DITREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
215 W 125TH ST, NEW YORK, NY 10027-4426
(866) 469-0999
Mailing address
175 SCOTT SWAMP RD, FARMINGTON, CT 06032-3124
(860) 751-6265

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1811520810
NY
Enumeration date
03/31/2020
Last updated
03/31/2020
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