NPI Details | |
---|---|
NPI | 1104225002 |
Enumeration Date | 08/15/2014 |
Last Updated | 08/15/2014 |
Entity Type | Healthcare Provider |
Active | Over 3 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.
Sponsored links
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.
Sponsored links