Individual
KATHYA ALEXANDRA CIACCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PEER SPECIALIST
Contact information
Practice address
3402 CLARENDON RD, BROOKLYN, NY 11203-5004
(929) 240-3217
Mailing address
1522 W 4TH ST APT 1F, BROOKLYN, NY 11204-4938
(516) 406-7414
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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