Individual
SANFORD I PLISKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
153 SUMMER STREET, PROVIDENCE, RI 02903
(401) 276-4300
Mailing address
153 SUMMER ST, PROVIDENCE, RI 02903-4011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00838
RI
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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