KENRICK WAITHE

BRONX, NY
NPI1861582231
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  221526)
Enumeration Date2006-10-13
Last Update Date2007-07-08
Business Address
-- KENRICK WAITHE
1591 FULTON AVE
BRONX, NY 10457-8234
Phone number: 718-901-6470
Mailing Address
-- KENRICK WAITHE
21 ELLWOOD AVE
MOUNT VERNON, NY 10552-3403
Phone number: 718-901-6471
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