Individual
DAN SUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAT
Contact information
Practice address
6510 99TH ST STE LL1, REGO PARK, NY 11374-3536
(718) 541-2509
Mailing address
6510 99TH ST STE LL1, REGO PARK, NY 11374-3536
(718) 541-2509
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
000587
NY
Other
Enumeration date
08/06/2010
Last updated
01/30/2013
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