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Organization
L. BRIAN CISTOLA LCSW-R PC
Active
Organization
L. BRIAN CISTOLA LCSW-R PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE CISTOLA (SOLE PROPRIETOR)
(845) 353-1433
Entity
Organization
Contact information
Practice address
20 OLD NYACK TPKE STE 306, NANUET, NY 10954-2530
(845) 353-1433
Mailing address
20 OLD NYACK TPKE STE 306, NANUET, NY 10954-2530
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R049815-1
NY
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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