Individual
MS. MYRNA A PEMBERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 CASALS PLACE, APT. 11K, BRONX, NY 10475
(718) 671-1554
Mailing address
140 CASALS PLACE, APT. 11K, BRONX, NY 10475
(718) 671-1554
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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