Individual
ANA RADEBOLDTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
178 LOCKMAN AVE, APT 4C, STATEN ISLAND, NY 10303-1974
(347) 439-1955
Mailing address
178 LOCKMAN AVE, APT 4C, STATEN ISLAND, NY 10303-1974
(347) 439-1955
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/07/2016
Last updated
08/07/2016
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