RYAN TYLON-ELIJAH FIELDS

RIDGEWOOD, NY
NPI1053938746
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-06-29
Last Update Date2020-06-29
Business Address
RYAN TYLON-ELIJAH FIELDS MHC, MPA
5913 GROVE ST
RIDGEWOOD, NY 11385-2647
Phone number: 718-506-5457
Mailing Address
RYAN TYLON-ELIJAH FIELDS MHC, MPA
7323 210TH ST APT 3C
BAYSIDE, NY 11364-2815
Phone number: 718-506-5457
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