Individual
MR. DATUS PURYEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6305 KENNEDY BLVD E APT A2, WEST NEW YORK, NJ 07093-4148
(740) 403-4567
Mailing address
6305 KENNEDY BLVD E APT A2, WEST NEW YORK, NJ 07093-4148
(740) 403-4567
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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