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Organization
LONG ISLAND CONSULTATION CENTER
Active
Organization
LONG ISLAND CONSULTATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENSYN MARQUESANO LMSW (CLINICIAN)
(914) 960-5756
Entity
Organization
Contact information
Practice address
9131 QUEENS BLVD STE 222, ELMHURST, NY 11373-5511
(718) 896-3400
Mailing address
19 FAITH LN, ARDSLEY, NY 10502-2528
(914) 960-5756
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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