Individual
THOMAS SOLEDAD PASCUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1412 BROADWAY STE 2109, NEW YORK, NY 10018-9228
(718) 615-0049
Mailing address
1 TRUESDALE PL, YONKERS, NY 10705-1532
(914) 476-3680
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
544872-01
NY
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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