Individual
MICHAEL DYLAN PAPAVASILIOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
329 E 149TH ST # 4TH, BRONX, NY 10451-5625
(646) 666-3088
Mailing address
329 E 149TH ST, BRONX, NY 10451-5625
(646) 666-3088
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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