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Zelda Boomer
NPI 1447626130 · on the registry since 2015 · sole proprietor
Practice
- Address
- 920 Coop City Blvd Bx. Ny 10475
Bronx, NY 10475 - Phone
- (646) 305-5920
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-08-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York