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Organization
NOVA ANTOINETTE SIMISTER-IRVING LCSW PC
Active
Organization
NOVA ANTOINETTE SIMISTER-IRVING LCSW PC
Active
Other names
NOVA SIMISTER LCSW, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
NOVA ANTOINETTE SIMISTER LCSW (OWNER)
(914) 316-1914
Entity
Organization
Contact information
Practice address
730 E 232ND ST APT 3A, BRONX, NY 10466-4115
(914) 316-1914
Mailing address
PO BOX 351, POUGHQUAG, NY 12570-0351
(914) 316-1914
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346679198
TIN
NY
Enumeration date
03/18/2021
Last updated
03/27/2023
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