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Organization
SELFWORKS GROUP: THERAPY PROFESSIONALS
Active
Organization
SELFWORKS GROUP: THERAPY PROFESSIONALS
Active
Other names
Omni Psychological Services PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY Y VIGLIOTTI PHD (FOUNDER/CEO)
(646) 535-1298
Entity
Organization
Contact information
Practice address
1140 BROADWAY RM 204, NEW YORK, NY 10001-7504
(646) 535-1298
Mailing address
1140 BROADWAY RM 204, NEW YORK, NY 10001-7504
(646) 535-1298
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417198581
INDIVIDUAL NPI NUMBER
—
Enumeration date
10/09/2019
Last updated
10/09/2019
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