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Individual

EDELYNE MARIE TIME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
184 ELDRIGE ST., NEW YORK, NY 10002
(347) 372-2827
Mailing address
184 ELDRIGE STREET, NEW YORK, NY 10002
(347) 372-2728

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
824061
NY

Other

Enumeration date
09/24/2013
Last updated
09/24/2013
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