Individual
TERENCE WALDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
777 SEAVIEW AVE, STATEN ISLAND, NY 10305-3409
(718) 667-2470
Mailing address
15 WESTMINSTER RD APT 3H, BROOKLYN, NY 11218-2826
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
002184-1
NY
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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