Individual
LUIS RAMON SERVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2700 WESTCHESTER AVE, PURCHASE, NY 10577-2547
(914) 602-2359
Mailing address
2700 WESTCHESTER AVE, PURCHASE, NY 10577-2547
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
02/18/2019
Last updated
02/28/2019
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