Individual
AVENA SHEROMANIE RAMAUTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2381 HYLAN BLVD, STATEN ISLAND, NY 10306-3122
(800) 277-4680
Mailing address
2054 ANTHONY AVE, BRONX, NY 10457-2804
(347) 756-9077
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
097048
NY
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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