Individual
MR. KEURIS ALONSO SEGURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
49 MONTROSE AVE, BROOKLYN, NY 11206-2580
(718) 473-3808
Mailing address
18 MUNN PL, YONKERS, NY 10704-1506
(917) 657-3334
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009791
NY
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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