Individual
BETHANY ANNE ALTSCHWAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
1276 FULTON AVE RM 208, BRONX, NY 10456-3402
(718) 901-8918
(718) 901-8918
Mailing address
1276 FULTON AVE, BRONX, NY 10456-3402
(718) 579-7394
(718) 579-7330
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
001904
NY
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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