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Organization
STATEN ISLAND PSYCHOTHERAPY LCSW PLLC
Active
Organization
STATEN ISLAND PSYCHOTHERAPY LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE TULLY LCSW (MEMBER)
(718) 344-7272
Entity
Organization
Contact information
Practice address
3974 AMBOY RD STE 207, STATEN ISLAND, NY 10308-2414
(718) 344-7272
Mailing address
3974 AMBOY RD STE 207, STATEN ISLAND, NY 10308-2414
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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