Individual
ALTAGRACIA JORGE JORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4302 NEW UTRECHT AVE, BROOKLYN, NY 11219-1831
(718) 686-9600
(646) 417-7477
Mailing address
4302 NEW UTRECHT AVE, BROOKLYN, NY 11219-1831
(718) 686-9600
(646) 417-7477
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
019815
NY
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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