Individual
FATIMA SEVERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
158 E 115TH ST, NEW YORK, NY 10029-2025
(929) 996-0259
Mailing address
528 83RD ST, BROOKLYN, NY 11209-4518
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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