Individual
BETHLEHEM RETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 BROADWAY, #2824, NEW YORK, NY 10006-2701
(212) 981-1977
Mailing address
61 BROADWAY, #2824, NEW YORK, NY 10006-2701
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/09/2014
Last updated
04/27/2015
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