DAVID WILLIAM BERREYESA POLOWAY

FLUSHING, NY
NPI1316680911
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-20
Last Update Date2022-05-20
Business Address
DAVID WILLIAM BERREYESA POLOWAY DO
5645 MAIN ST
FLUSHING, NY 11355-5045
Phone number: 718-670-1507
Mailing Address
DAVID WILLIAM BERREYESA POLOWAY DO
5645 MAIN ST
FLUSHING, NY 11355-5045
Phone number: