RIDAA IDRISS

BRONX, NY
NPI1396201315
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-02-14
Last Update Date2019-07-24
Business Address
RIDAA IDRISS PA-C
111 E 210TH ST
BRONX, NY 10467
Phone number: 718-920-4800
Mailing Address
RIDAA IDRISS PA-C
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4800
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