Individual
DR. KERRY AZALEA GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-6981
Mailing address
1013 E 228TH ST, BRONX, NY 10466-4819
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
268737
NY
Other
Enumeration date
03/16/2011
Last updated
05/16/2013
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