Individual
SURURA ABDUL-WAHAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2345 UNIVERSITY AVE, BRONX, NY 10468-6102
(646) 513-2865
Mailing address
2345 UNIVERSITY AVE, BRONX, NY 10468-6102
(646) 513-2865
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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