Individual
ADA CARABALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
Mailing address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
094319-1
NY
Other
Enumeration date
09/14/2018
Last updated
09/19/2018
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