Individual
KENNETH ADESON ERIAIDUBOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
195 BAY 19 STREET, SUITE 201, BROOKLYN, NY 11214
(718) 338-4716
Mailing address
195 BAY 19 STREET, SUITE 201, BROOKLYN, NY 11214
(718) 338-4716
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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