Individual
EMILY TOBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3326 96TH ST, CORONA, NY 11368-1037
(718) 564-0580
(347) 808-9182
Mailing address
3326 96TH ST, CORONA, NY 11368-1037
(718) 564-0580
(347) 808-9182
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
876639454
NY
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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