Resiliency Express Lcsw Pc

NPI 1104225002 - Clinic/Center - 261QM0801X

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
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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.