Individual
MISS NATASHIA VANESSA BOSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S SPECIAL EDUCATIO
Contact information
Practice address
752 E 220TH ST, BRONX, NY 10467-5260
(646) 796-6990
Mailing address
752 E 220TH ST, BRONX, NY 10467-5260
(646) 796-6990
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1329982
NY
Other
Enumeration date
04/15/2017
Last updated
04/15/2017
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