Individual
ALTAGRACIA E BIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1419 SHAKESPEARE AVE OFC 1, BRONX, NY 10452-1851
(646) 667-3405
Mailing address
1775 CLAY AVE APT 6F, BRONX, NY 10457-7208
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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