Individual
JERRYMIAS HOMERES RANARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
3155 GRACE AVE, BRONX, NY 10469-3134
(718) 435-6906
Mailing address
575 8TH AVE FL 6, NEW YORK, NY 10018-3158
(917) 286-5317
(917) 286-5318
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6535003
NY
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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