Mardeen Cortorreal
Counselor in Harrison, NY. Individual provider (NPI-1).
NPI number1659635373
StatusActive
Last updated in NPPESJun 27, 2012
Details
- NPI
- 1659635373
- Entity type
- Individual (NPI-1)
- Name
- Mardeen Cortorreal
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 27, 2012
- Last updated
- Jun 27, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
275 North StHarrison, NY 10528-1140
Phone 914-925-5211
Mailing address
275 North StHarrison, NY 10528-1140
Phone 914-925-5211
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