Individual
ANNALISA R. CUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2432 GRAND CONCOURSE, SUITE 505, BRONX, NY 10458-5204
(718) 364-9700
Mailing address
2432 GRAND CONCOURSE, SUITE 505, BRONX, NY 10458
(718) 364-9700
(718) 365-3670
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
073906-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00245029
—
NY
Enumeration date
09/27/2007
Last updated
08/06/2008
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