Individual
MS. RENEE SUSAN PASTOLOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATR-BC, LCAT
Contact information
Practice address
153 E MAIN ST STE F3, MOUNT KISCO, NY 10549-2319
(914) 469-7117
Mailing address
153 E MAIN ST, MOUNT KISCO, NY 10549-2317
(914) 469-7117
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001776
NY
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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