Individual
BERNADINE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
391 E 149TH ST RM 417, BRONX, NY 10455-3907
(646) 670-6965
Mailing address
391 E 149TH ST RM 417, BRONX, NY 10455-3907
(646) 670-6965
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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