| NPI Details | |
|---|---|
| NPI | 1104225002 |
| Enumeration Date | 08/15/2014 |
| Last Updated | 08/15/2014 |
| Entity Type | Healthcare Provider |
| Active | Over 2 years ago |
| Authorized Information | |
|---|---|
| Name | MICHELLE MICHELLE |
| Position | PRESIDENT |
| Phone | (718) 201-2456 |
| Fax | |
| Practice Location | |
|---|---|
| 74-05 METROPOLITAN AVENUE 2ND FLOOR MIDDLE VILLAGE NY, 11379, US |
|
| Phone | (718) 201-2456 |
| Fax | |
| Business Location | |
|---|---|
| 150-51 VILLAGE ROAD UNIT 55A JAMAICA NY, 11432, US |
|
| Phone | (718) 909-7742 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 261QM0801X |
| License State | New York |
| License Number | 076034-1 |
| Remove 1104225002 NPI Number | |
According to our database, Resiliency Express Lcsw Pc NPI is 1104225002, taxonomy code is 261QM0801X and license number is 076034-1, license state is located at New York. Resiliency Express Lcsw Pc physically located at 74-05 Metropolitan Avenue, Middle Village NY, 11379. NPI Number 1033115704 has the healthcare provider type.
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1104225002 NPI number is provided on an as is basis without warranty of any kind. 1104225002 is maintained by the National Plan & Provider Enumeration System. The contents of Resiliency Express Lcsw Pc are for informational purposes only.
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