Individual
GIDEON ACHIREM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
66 VAN CORTLANDT PARK S, BRONX, NY 10463-3102
(718) 519-2800
Mailing address
111 STONE ST, MAYWOOD, NJ 07607-1239
(551) 556-1869
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
46TR01127300
NJ
225XP0200X
Pediatric Occupational Therapist
46TR01127300
NJ
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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