Individual
MOLENA Y FRAITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1775 GRAND CONCOURSE, BRONX, NY 10453-8202
(914) 591-7300
Mailing address
100 N BROADWAY STE 1, IRVINGTON, NY 10533-1246
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/21/2021
Last updated
08/21/2021
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