Individual
DOREDA EPHRAIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 CASTLE HILL AVE, BRONX, NY 10472-6304
(646) 489-4750
Mailing address
133 E CLARKE PL, APT 5G, BRONX, NY 10452-7659
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024458-1
NY
Other
Enumeration date
02/01/2011
Last updated
02/01/2011
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