Most Relevant Information
Provider Data
| NPI Number: | 1003693268 |
| Provider Name: | KENT OVALLES |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/12/2023 |
| Last Updated: | 09/12/2023 |
Provider Practice Location
84 HALSTEAD AVE APT 1B
HARRISON
NY
105284130
Practice Location Phone/Fax
| Phone: | 3476098736 |
| Fax: |
Provider Mailing Location
84 HALSTEAD AVE APT 1B
HARRISON
NY
105284130
Provider Mailing Phone/Fax
| Phone: | 3476098736 |
| Fax: |